Individual provider Active NPI

Charlotte Crismyre, PA

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1851679740
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
18100 Houston Methodist Dr Ste 150
Houston, TX 77058-4600
Phone
(281) 523-2380
Fax
(281) 523-2379
NPI assigned
Jul 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TX Primary

Addresses

Primary practice location

18100 Houston Methodist Dr Ste 150
Houston, TX 77058-4600

Mailing address

1 Seagate
Suite 800
Toledo, OH 43604-1558
Phone (567) 585-1945

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
I20200910001705 TX Practitioner - Physician Assistant 6608049317 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Methodist Specialty Physicians CurrentSince Jan 1, 2026 Accepting new patients
TMH Physician Associates PLLC CurrentSince Aug 17, 2020 Accepting new patients
TMH Physician Associates PLLC CurrentSince Aug 17, 2020 Accepting new patients
Houston Methodist Past Accepting new patients
Wabash Valley Urological Assoc Inc Past Accepting new patients

Locations

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

6565 Fannin St
#623
Houston, TX 77030
Phone (713) 363-8584

18100 Houston Methodist Dr
Ste 150
Houston, TX 77058
Phone (281) 333-8899

6445 Main St
Ste 2500
Houston, TX 77030
Phone (713) 441-3150

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Interoperability endpoints

  • Direct secure messaging: ccrismyre340788@directhoustonmethodist.org

Organizations & group practices 5

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": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1851679740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SEAGATE",
            "address_2": "SUITE 800",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041558",
            "telephone_number": "567-585-1945",
            "fax_number": "419-824-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18100 HOUSTON METHODIST DR STE 150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770584600",
            "telephone_number": "281-523-2380",
            "fax_number": "281-523-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISMYRE",
        "first_name": "CHARLOTTE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-27",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.