Individual provider Active NPI

Charlie Ann Maria Comrie, PMHNP-BC

  • Primary Care Nurse Practitioner
  • McKinney, TX
National Provider Identifier
1649996372
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1096606 Issued in TX
Practice address
7300 Eldorado Pkwy
McKinney, TX 75070-7891
Phone
(972) 893-3376
NPI assigned
Oct 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1096606 TX
Primary Care Nurse Practitioner 363LP2300X 1096606 TX Primary

Addresses

Primary practice location

7300 Eldorado Pkwy
McKinney, TX 75070-7891

Mailing address

7300 Eldorado Pkwy Ste 225
McKinney, TX 75070-3590
Phone (972) 733-7242

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
I20221117001038 TX Practitioner - Nurse Practitioner 2860860160 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bent Tree Medicine PLLCGroup PAC ID 6204185127, 21 clinicians

Practice addresses (Care Compare)

7300 Eldorado Pkwy
Suite 225
McKinney, TX 75070-3590
Phone (972) 733-7242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1096606TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bent Tree Medicine, PLLC CurrentSince Oct 23, 2023 Accepting new patients
Bent Tree Psychiatric Assoc CurrentSince Nov 2, 2022 Accepting new patients

Locations

1604 Hospital Pkwy
Ste 407
Bedford, TX 76022
Phone (469) 379-8222

4245 N Central Expy
Ste 450
Dallas, TX 75205
Phone (469) 379-8222

12850 Dallas Pkwy
Ste 200
Frisco, TX 75033
Phone (469) 379-8222

7300 Eldorado Pkwy
Ste 225
McKinney, TX 75070
Phone (469) 440-9543

6839 Communications Pkwy
Plano, TX 75024
Phone (469) 379-8222

1820 Preston Park Blvd
Ste 2500
Plano, TX 75093

Organizations & group practices 2

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": "1665705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1649996372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 ELDORADO PKWY STE 225",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750703590",
            "telephone_number": "972-733-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 ELDORADO PKWY",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750707891",
            "telephone_number": "972-893-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMRIE",
        "first_name": "CHARLIE ANN",
        "middle_name": "MARIA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-14",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1096606",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1096606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.