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Active NPI 1629171293 Individual Practitioner Male Practitioner

Charles Itoe Misori , CRNP

Nurse Practitioner • Dallas, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Charles Misori, CRNP is a certified Nurse Practitioner practicing in Dallas, TX. With approximately 22 years of clinical experience since completing medical education in 2004, Charles Misori delivers high-quality medical care to the local community at 2223 S BUCKNER BLVD.

Charles Misori accepts Medicare assignment.

Frequently performed procedures and clinical services include adm sarscov2 100mcg/0.5ml2nd, adm sarscov2 100mcg/0.5ml1st, blood glucose (sugar) test performed by hand-held instrument. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2223 S Buckner Blvd

Dallas, TX 752278646

Telephone 3052662929
Fax 7865580242
Associated Practice Facility / Clinic
🏢 National Vision, Inc. Facility NPI 1093254799

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Dallas, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs +12.0 yrs vs City Avg
City Avg: 10.0 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
451 Specialists

Practicing in Dallas, TX (4894 Statewide)

Telehealth Adoption Rate
18.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
39.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Misori (22 Years) 22 Yrs
Dallas Specialty Average (10.0 Years) 10.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
0012A Adm sarscov2 100mcg/0.5ml2nd
37 37 $28.39 $27.86
0011A Adm sarscov2 100mcg/0.5ml1st
36 36 $16.94 $16.40
82962 Blood glucose (sugar) test performed by hand-held instrument
26 13 $33.83 $3.28

Medical Specialties & State Licenses

CMS Verified: 2023-01-05
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License AL 1094507

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License AL 1094507

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dania Verdecia , ARNP

Nurse Practitioner - Adult Health

NPI 1003042581

Advanced Registered Nurse Practitioner

Carlos Hernandez Vazquez

Nurse Practitioner - Family

NPI 1003456021
Cassandra Eneremadu , FNP-C

Nurse Practitioner - Family

NPI 1013453711

Family Nurse Practitioner (Certified)

Alina Padron Rodriguez , MSN

Nurse Practitioner - Family

NPI 1033356308

Master of Science in Nursing

Hector Morier , ARNP

Nurse Practitioner - Family

NPI 1053716043

Advanced Registered Nurse Practitioner

Anabel Nunez Suarez , FNP

Nurse Practitioner - Family

NPI 1063010643

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location January 05, 2023

Registered at 2223 S BUCKNER BLVD, DALLAS, TX 752278646 (Tel: 3052662929)

📍
Updated Business Mailing Address January 05, 2023

Registered at 14500 DALLAS PKWY, DALLAS, TX 752548360 (Tel: 2566941277)

NPI Profile Active May 18, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 18, 2015

Registered at 105 TEAKWOOD DR SW, HUNTSVILLE, AL 358013454 (Tel: 2568815000)

📍
Updated Business Mailing Address May 18, 2015

Registered at 12201 BLUEGRASS PKWY, LOUISVILLE, KY 402992361 (Tel: 5025687366)

👤
Provider Name / Credentials Updated May 18, 2015

Recorded as CHARLES MISORI, CRNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2015

Nurse Practitioner (License #1094507 in AL)

🟢
Initial NPI Registration & Enumeration September 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629171293
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2006
Last Update: January 05, 2023
Sole Proprietor: No

Mailing Address

14500 Dallas Pkwy

Dallas, TX 752548360

Phone: 2566941277

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.