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CHARLOTTE SUZANNE FOX RN, MSN, ACNP-BC
NPI 1235327792
Nurse Practitioner - Acute Care in Burnet, TX

Active since October 10, 2007PECOS EnrolledAccepts Medicare Assignment
72.52/100
CMS Quality Rating
200 COUNTY ROAD 340A, BLDG. 1, STE. B, BURNET, TX 78611(512) 715-3032(512) 715-3029 Get Directions Write a Review

NPPES record last updated: May 5, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charlotte Suzanne Fox Rn, Msn, Acnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLOTTE SUZANNE FOX RN, MSN, ACNP-BC (NPI 1235327792) is an individual acute care provider in Burnet, Texas, licensed in Texas (606313) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS, is affiliated with Ascension Seton Highland Lakes, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1235327792
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameCHARLOTTE SUZANNE FOXCredential: RN, MSN, ACNP-BC
Location Address200 COUNTY ROAD 340A, BLDG. 1, STE. BBurnet, TX 78611-4537
Mailing Address200 County Road 340a, Bldg 1 Suite BBurnet, TX 78611-4537 · (512) 715-3032 · Fax (512) 715-3029
Phone(512) 715-3032
Fax(512) 715-3029
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 10, 2007
Last NPPES UpdateMay 5, 2016
✔ NPI 1235327792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TX · 606313
200 COUNTY ROAD 340A, Burnet, TX 78611
Open in Google Maps ↗

Other Names 1

Former Name (1)Charlie Fox Simpson

Other Identifiers 6

Medicare PIN340638YMGJTX
Other8100NMTX · Bcbs
Medicaid194024908TX
Medicare PIN340638YL9XTX
Medicaid194024905TX
Medicaid194024907TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charlotte Suzanne Fox Rn, Msn, Acnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153492608
PECOS Enrollment IDI20080611000558
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
320 services204 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Seton Highland Lakes

Critical Access Hospitals · Burnet, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451365
Location3201 S Water StBurnet, TX 78611 · Burnet County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

Reported Quality Measures

Advance Care Plan
88%484 patients4/55-star benchmark: 100%
Breast Cancer Screening
63%128 patients3/55-star benchmark: 93%
Cervical Cancer Screening
19%54 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
32%34 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
67%289 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
73%358 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy - Diabetes or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
85%34 patients4/55-star benchmark: 100%
Coronary Artery Disease (CAD): Antiplatelet Therapy
83%202 patients4/55-star benchmark: 100%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
92%60 patients4/55-star benchmark: 99%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
37%51 patients2/55-star benchmark: 100%
Diabetes: Eye Exam
15%89 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
36%89 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
95%995 patients4/55-star benchmark: 100%
e-Prescribing
94%253 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
71%465 patients3/55-star benchmark: 100%
Functional Status After Primary Total Knee Replacement
0%37 patients
HIV Screening
2%162 patients1/55-star benchmark: 60%
One-Time Screening for Hepatitis C Virus (HCV) for all Patients
42%212 patients2/55-star benchmark: 98%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
43%578 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
95%423 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
28%190 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 97% · 573 patients
Patients screened: 99% · 573 patients
88%100 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 49% · 214 patients
49%214 patients
Provide Patients Electronic Access to Their Health Information
83%203 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
73%181 patients3/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
87%366 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 460 patients
Patients totalRate: 12% · 468 patients
11%468 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNON ROBISON
Nurse Practitioner (Acute Care)
200 COUNTY ROAD 340A, BLDG II, SUITE B-C
BURNET, TX 78611
Burnet County (512) 715-3114
JERROD ALAN TABER PA-C
Physician Assistant
200 COUNTY ROAD 340A, BLDG II, SUITE B-C
BURNET, TX 78611
Burnet County (830) 693-2600
DR. TANNA M THOMPSON MD
Pediatrics
200 COUNTY ROAD 340A, BLDG I, SUITE A
BURNET, TX 78611
Burnet County (512) 715-3110
HILL COUNTRY ADVANCED FOOT AND ANKLE CENTER, P.A.
Podiatrist (Foot & Ankle Surgery)
200 COUNTY ROAD 340A, 4
BURNET, TX 78611
Burnet County (830) 693-8144
CHARLES MICHAEL FRANZ D.O.
Family Medicine
200 COUNTY ROAD 340A, BLDG I, SUITE A
BURNET, TX 78611
Burnet County (512) 715-3110
ASCENSION SETON
Clinic/Center (Rural Health)
200 COUNTY ROAD 340A
BURNET, TX 78611
Burnet County (512) 715-3110
BALCONES HEALTHCARE ASSOCIATES, PA
Pain Medicine (Pain Medicine)
200 COUNTY ROAD 340A, BUILDING 1, SUITE 4
BURNET, TX 78611
Burnet County (512) 868-4352
DR. ROBERT A GRAVES DO
Family Medicine
200 COUNTY ROAD 340A
BURNET, TX 78611
Burnet County (512) 715-3110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charlotte Fox's NPI number?

The NPI number for Charlotte Fox is 1235327792. It was assigned to this individual provider in the NPPES registry on October 10, 2007. The provider is also known as Charlie Fox Simpson.

Where is Charlotte Fox located?

Charlotte Fox practices at 200 County Road 340A Bldg. 1, Ste. B, Burnet, TX 78611. The listed phone number is (512) 715-3032.

What is Charlotte Fox's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Charlotte Fox enrolled in Medicare?

Yes. Charlotte Fox is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Charlotte Fox accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Charlotte Fox as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Charlotte Fox affiliated with any hospitals?

According to CMS data, Charlotte Fox is affiliated with Ascension Seton Highland Lakes.

When was this NPI record last updated?

The NPPES record for Charlotte Fox was last updated on May 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.