Individual provider Active NPI

Angelina Charles, FNP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1801695697
Registry record updated Aug 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1179846 Issued in TX
Practice address
8210 Walnut Hill LN Ste 505
Dallas, TX 75231-4420
Phone
(214) 345-4160
Fax
(214) 345-4165
NPI assigned
Mar 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1179846 TX
Family Nurse Practitioner 363LF0000X 1179846 TX Primary

Addresses

Primary practice location

8210 Walnut Hill LN Ste 505
Dallas, TX 75231-4420

Mailing address

8210 Walnut Hill LN Ste 505
Dallas, TX 75231-4420
Phone (214) 345-4160

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
I20250717002148 TX Practitioner - Nurse Practitioner 9638684616 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Pulse Primary Care of Texas PLLCGroup PAC ID 4486162633, 3 clinicians
Mallikarjuna Mukka MD PAGroup PAC ID 9436222510, 7 clinicians

Practice addresses (Care Compare)

5445 Basswood Blvd
Suite 650
Fort Worth, TX 76137-4447
Phone (817) 485-0161

6551 Harris Pkwy
Suite 110
Fort Worth, TX 76132-6105
Phone (817) 624-3500

Hospital & facility affiliations

  • Texas Health Harris Methodist Hospital Southwest F Hospital, Fort Worth, TX, CCN 450779

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mallikarjuna Mukka MD PA CurrentSince Jan 1, 2026 Accepting new patients
Triadon Corporation Past Accepting new patients

Locations

6551 Harris Pkwy
Ste 110
Fort Worth, TX 76132
Phone (817) 370-8833

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754092800000",
    "number": "1801695697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 WALNUT HILL LN STE 505",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314420",
            "telephone_number": "214-345-4160",
            "fax_number": "214-345-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 WALNUT HILL LN STE 505",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314420",
            "telephone_number": "214-345-4160",
            "fax_number": "214-345-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "ANGELINA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-08-02",
        "certification_date": "2025-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1179846",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1179846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.