Active NPI
Charlotte Chase Appleton, M.D.
- Internal Medicine Physician
- Nacogdoches, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- R4806
- Practice address
- 4920 NE Stallings Dr
Nacogdoches, TX 75965-1254 - Phone
- (936) 569-9481
- NPI assigned
- Dec 12, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 12831 | NV | |
| Internal Medicine Physician | 207R00000X | R4806 | TX | Primary |
| Internal Medicine Physician | 207R00000X | 8654 | AK | |
| Internal Medicine Physician | 207R00000X | 51708 | CO |
Addresses
Primary practice location
4920 NE Stallings Dr
Nacogdoches, TX 75965-1254
Mailing address
4920 NE Stallings Dr
Nacogdoches, TX 75965-1254
Phone (936) 569-9481
Other practice location 1
821 N Nellis Blvd
Las Vegas, NV 89110-5339
Phone (702) 438-4003
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629139712 | Medicaid | NV |
Other names 1
- Dr. Charlotte Appleton Shealy
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Cerner |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180122002537 | TX | Practitioner - Internal Medicine | 1557510286 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of South Carolina School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Usacs Integrated Acute Care Services of Texas, PLLC
Practice addresses (Care Compare)
260 Cully Dr
Kerrville, TX 78028-5950
Phone (830) 258-7747
4920 NE Stallings Dr
Nacogdoches, TX 75965-1254
Phone (936) 569-9481
Hospital & facility affiliations
- Heart to Heart Hospice of Lufkin LLC
- Olive Branch Hospice
- Nacogdoches Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8654 | AK | MD | Internal Medicine Physician |
| 51708 | CO | MD | Internal Medicine Physician |
| R4806 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Physician Group Management LLC | Internal Medicine | Current | Accepting new patients |
| Usacs Integrated Acute Care Services of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| TH Healthcare, LTD | Past | Accepting new patients | |
| Mountain View Medical Group, PC | Past | Accepting new patients | |
| Winnie-Stowell Hospital District | Past | Accepting new patients | |
| Mountain View Medical Group, PC | Internal Medicine | Past | Accepting new patients |
Locations
3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017
3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800
3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852
Phone (830) 733-5321
18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409
260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323
1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111
1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611
4920 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 568-3441
6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000
Interoperability endpoints
- https://api.platform.athenahealth.com/1928/brand/1/csg/62/fhir/r4
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Heart to Heart Hospice of Lufkin, LLC | Hospice | Contracted Managing Employee | Apr 15, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Lufkin, TX
- NPI 1326189176
Contracted Managing Employee
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Cedar Park, TX
- NPI 1801300322
Internal Medicine, TX
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
Internal Medicine, TX
-
- Internal Medicine Physician
- Nacogdoches, TX
- NPI 1770162695
Internal Medicine, TX
-
- General Acute Care Hospital
- Nacogdoches, TX
- NPI 1700885076
-
- Skilled Nursing Facility
- Nacogdoches, TX
- NPI 1265007827
-
- Durable Medical Equipment & Medical Supplies
- Colorado Springs, CO
- NPI 1144405200
-
- Family Medicine Physician
- Colorado Springs, CO
- NPI 1295787703
Internal Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Lufkin, TX
- NPI 1326189176
Hospice
-
- Community Based Hospice Care Agency
- Jasper, TX
- NPI 1780143933
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572566400000",
"number": "1629139712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4920 NE STALLINGS DR",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759651254",
"telephone_number": "936-569-9481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4920 NE STALLINGS DR",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759651254",
"telephone_number": "936-569-9481"
}
],
"practiceLocations": [
{
"address_1": "821 N Nellis Blvd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891105339",
"country_code": "US",
"telephone_number": "702-438-4003",
"fax_number": "702-438-0555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "APPLETON",
"first_name": "CHARLOTTE",
"middle_name": "CHASE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2019-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "12831",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "R4806",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AK",
"license": "8654",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "51708",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629139712",
"state": "NV"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Cerner",
"affiliation": "N",
"address_1": "4920 NE Stallings Dr",
"city": "Nacogdoches",
"state": "TX",
"country_code": "US",
"postal_code": "759651254",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CHARLOTTE",
"last_name": "SHEALY",
"middle_name": "APPLETON",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Nacogdoches, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.