Active NPI
Chyrissa Rosanna Staley, F.N.P.
- Family Nurse Practitioner
- New Braunfels, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP122247
- Practice address
- 717 Generations Dr Ste B
New Braunfels, TX 78130-0009 - Phone
- (844) 789-7246
- Fax
- (888) 880-9323
- NPI assigned
- Aug 6, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP122247 | TX | Primary |
Addresses
Primary practice location
717 Generations Dr Ste B
New Braunfels, TX 78130-0009
Mailing address
2000 Frontier
Spring Branch, TX 78070-5942
Phone (713) 447-4990
Other practice location 1
110 Stone Oak Loop Ste 103
San Antonio, TX 78258-3511
Phone (844) 789-7246
Other practice location 2
3338 Oakwell Ct Ste 104
San Antonio, TX 78218-3087
Phone (210) 268-0129
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120926000069 | TX | Practitioner - Nurse Practitioner | 5395994941 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP122247 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tricity Pain Associates PA | Current | Accepting new patients | |
| Tricity Pain Associates PA | Current | Accepting new patients | |
| Duchon Chiropractic | Past | Accepting new patients | |
| Matthew P Gibbs, MD, PA | Past | Accepting new patients | |
| Galveston Physical Medicine PLLC | Past | Accepting new patients |
Locations
717 Generations Dr
Ste B
New Braunfels, TX 78130
Phone (830) 264-8189
110 Stone Oak Loop
Ste 103
San Antonio, TX 78258
Phone (210) 268-0156
3338 Oakwell Ct
Ste 104
San Antonio, TX 78218
Phone (210) 946-6466
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- San Antonio, TX
- NPI 1235016486
-
- Chiropractor
- Galveston, TX
- NPI 1063691525
-
- Physical Medicine & Rehabilitation Physician
- Galveston, TX
- NPI 1861752214
-
- Family Medicine Physician
- Helotes, TX
- NPI 1659565448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701993600000",
"number": "1346597663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 FRONTIER",
"city": "SPRING BRANCH",
"state": "TX",
"postal_code": "780705942",
"telephone_number": "713-447-4990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 GENERATIONS DR STE B",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781300009",
"telephone_number": "844-789-7246",
"fax_number": "888-880-9323"
}
],
"practiceLocations": [
{
"address_1": "110 Stone Oak Loop Ste 103",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782583511",
"country_code": "US",
"telephone_number": "844-789-7246",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3338 Oakwell Ct Ste 104",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782183087",
"country_code": "US",
"telephone_number": "210-268-0129",
"fax_number": "210-314-4609",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STALEY",
"first_name": "CHYRISSA",
"middle_name": "ROSANNA",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-06",
"last_updated": "2023-12-08",
"certification_date": "2023-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP122247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Braunfels, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.