Charlene C Chapman, NP
Individual provider Active NPI Acute Care Nurse Practitioner · Burnet, TX
NPI 1801149646 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1801149646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- AP122668 (TX)
- Practice address
- 200 County Road 340a BLDG II
Burnet, TX 78611-4537 - Phone
- (512) 715-3114
- Fax
- (512) 715-3116
- NPI assigned
- Oct 17, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130110000317 | TX | Practitioner - Nurse Practitioner | 7911150537 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 722915 | TX | MD | Acute Care Nurse Practitioner |
| AP122668 | TX | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Seton | Current |
Accepting new patients | |
| Ascension Seton | Current | Accepting new patients | |
| Ascension Seton | Current |
Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Claxton-Hepburn Medical Center | Past |
Accepting new patients |
Locations
1205 Central Texas Expy
Lampasas, TX 76550
Phone (512) 556-5362
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 722915 | TX | |
| Acute Care Nurse Practitioner | 363LA2100X | AP122668 | TX | Yes |
Addresses
Primary practice location
200 County Road 340a BLDG II
Burnet, TX 78611-4537
Mailing address
PO Box 1219
Burnet, TX 78611-7219
Phone (512) 715-3114
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801149646 | Other | NPI |
Other providers in Burnet, TX
- Lawrence Franklin Buxton
- Amber Cardenas
- Cardiovascular Specialists of Texas
- Cardiovascular Specialists of Texas, P.a.
- Hannah Rose Cash
- Walter Lee Chesshir III
- City of Burnet
- Ashley Renee Collie
- Tiffani Cook
- Travis John Cook
All providers in Burnet, TX · Acute Care Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.