Individual provider Active NPI

Charlie Ann Anderson Sheehan, MSN, APRN, CNM

  • Advanced Practice Midwife
  • Waco, TX
National Provider Identifier
1538928932
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
1144920 Issued in TX
Practice address
120 Hillcrest Medical Blvd
Waco, TX 76712-8948
Phone
(254) 313-6500
NPI assigned
Mar 18, 2024
Last updated
Mar 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 1144920 TX Primary

Addresses

Primary practice location

120 Hillcrest Medical Blvd
Waco, TX 76712-8948

Mailing address

3225 Windsor Ave
Waco, TX 76708-3112
Phone (952) 451-8473

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501002270 TX Practitioner - Certified Nurse Midwife (CNM) 5294175709 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

120 Hillcrest Medical Blvd
Suite 300
Waco, TX 76712-8951
Phone (254) 313-6500

600 W State Hwy 6
Waco, TX 76712-3977
Phone (254) 313-6700

6500 Imperial Dr
Suite 200
Waco, TX 76712-3977
Phone (254) 313-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
1144920TXMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Texas Community Health Center Inc CurrentSince Apr 22, 2024 Accepting new patients
Heart of Texas Community Health Center Inc Current Accepting new patients
McLennan County Medical Education and Research Foundation Current Accepting new patients
Heart of Texas Community Health Center, Inc. CurrentSince Apr 22, 2024 Accepting new patients
Heart of Texas Community Health Center, Inc Past Accepting new patients

Locations

120 Hillcrest Medical Blvd
Ste 300
Waco, TX 76712
Phone (254) 313-6500

1600 Providence Dr
Waco, TX 76707
Phone (254) 313-4200

405 Londonderry Dr
Ste 204
Waco, TX 76712
Phone (254) 313-1500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1538928932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 WINDSOR AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083112",
            "telephone_number": "952-451-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HILLCREST MEDICAL BLVD",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767128948",
            "telephone_number": "254-313-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "CHARLIE ANN",
        "middle_name": "ANDERSON",
        "credential": "MSN, APRN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "1144920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.