Individual provider Active NPI

Charlene C Chapman, NP

  • Acute Care Nurse Practitioner
  • Burnet, TX
National Provider Identifier
1801149646
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP122668 Issued in 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
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 722915 TX
Acute Care Nurse Practitioner 363LA2100X AP122668 TX Primary

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

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
I20130110000317 TX Practitioner - Nurse Practitioner 7911150537 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Seton CurrentSince Aug 6, 2017 Accepting new patients
Ascension Seton Current Accepting new patients
Ascension Seton CurrentSince Aug 6, 2017 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Claxton-Hepburn Medical Center PastSince Jun 24, 2015 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1205 Central Texas Expy
Lampasas, TX 76550
Phone (512) 556-5362

Organizations & group practices 6

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": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1801149646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1219",
            "city": "BURNET",
            "state": "TX",
            "postal_code": "786117219",
            "telephone_number": "512-715-3114",
            "fax_number": "512-715-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 COUNTY ROAD 340A BLDG II",
            "city": "BURNET",
            "state": "TX",
            "postal_code": "786114537",
            "telephone_number": "512-715-3114",
            "fax_number": "512-715-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "CHARLENE",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "722915",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP122668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnet, TX

Sources for this page

Verify at the official NPI Registry.