Individual provider Active NPI

Chanel Nicole Tinsley, APRN, FNP-C

  • Family Nurse Practitioner
  • Granbury, TX
National Provider Identifier
1659992915
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1031105 Issued in TX
Practice address
112 Maverick CT
Granbury, TX 76049-1381
Phone
(888) 731-8994
Fax
(833) 775-1861
NPI assigned
Apr 28, 2020
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024178749 VA
Family Nurse Practitioner 363LF0000X 1031105 TX Primary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 1031105 TX

Addresses

Primary practice location

112 Maverick CT
Granbury, TX 76049-1381

Mailing address

112 Maverick CT
Granbury, TX 76049-1381
Phone (888) 731-8994

Other practice location 1

111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Phone (888) 731-8994

Other practice location 2

1101 Wilson Blvd Fl 6
Arlington, VA 22209-2281
Phone (682) 408-8285

Other practice location 3

100 Cambridge Street STE 1400 PMB 14
Boston, MA 02114-2545
Phone (888) 731-8994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20201028000317 VA Practitioner - Nurse Practitioner 2264501055 Reassigns benefits to 1 organization
I20201221000022 DC Practitioner - Nurse Practitioner 2264501055 Reassigns benefits to 1 organization
I20210414002306 TX Practitioner - Nurse Practitioner 2264501055 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1031105TXMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Infusions, LLC Nurse Practitioner CurrentSince Nov 29, 2022 Accepting new patients
Minuteclinic Diagnostic of Virginia LLC Family CurrentSince Sep 24, 2020 Accepting new patients
Innovative Infusions, LLC Nurse Practitioner CurrentSince Nov 29, 2022 Accepting new patients
Integrative Womens Care PC Past Accepting new patients

Locations

200 N Mesquite St
Ste 115
Arlington, TX 76011
Phone (817) 200-2530

720 W 34th St
Ste 104
Austin, TX 78705
Phone (512) 261-4800

4710 Bellaire Blvd
Ste 340
Bellaire, TX 77401
Phone (713) 860-1755

113 E State Highway 121
Ste 110
Coppell, TX 75019
Phone (469) 946-6577

11317 N Central Expy
Ste 100
Dallas, TX 75243
Phone (972) 408-2777

3033 W President George Bush Hwy
Ste 100
Plano, TX 75075
Phone (877) 365-5566

5504 Democracy Dr
Ste 230
Plano, TX 75024
Phone (469) 974-0565

1922 Dry Creek Way
Ste 134
San Antonio, TX 78259
Phone (210) 485-3700

1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687

1511 Emancipation Hwy
Fredericksburg, VA 22401
Phone (540) 889-6874

19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918

Interoperability endpoints

  • Direct secure messaging: chanel.tinsley.1@27069.direct.athenahealth.com

Organizations & group practices 4

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": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1659992915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MAVERICK CT",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760491381",
            "telephone_number": "888-731-8994",
            "fax_number": "833-775-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MAVERICK CT",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760491381",
            "telephone_number": "888-731-8994",
            "fax_number": "833-775-1861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 N Orange Ave Ste 800",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328012381",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "fax_number": "833-775-1861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Wilson Blvd Fl 6",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222092281",
            "country_code": "US",
            "telephone_number": "682-408-8285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Cambridge Street STE 1400 PMB 14",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142545",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TINSLEY",
        "first_name": "CHANEL",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178749",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1031105",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "TX",
            "license": "1031105",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

Verify at the official NPI Registry.