Individual provider Active NPI

Chyrissa Rosanna Staley, F.N.P.

  • Family Nurse Practitioner
  • New Braunfels, TX
National Provider Identifier
1346597663
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP122247 Issued in TX
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

Updated by the provider on Dec 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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. Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP122247TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tricity Pain Associates PA CurrentSince Oct 30, 2023 Accepting new patients
Tricity Pain Associates PA CurrentSince Oct 30, 2023 Accepting new patients
Duchon Chiropractic Past Accepting new patients
Matthew P Gibbs, MD, PA Past Accepting new patients
Galveston Physical Medicine PLLC PastSince Jun 30, 2014 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.

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

Verify at the official NPI Registry.