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

Q: 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.

Q: What is Charlotte Fox's specialty?

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

Q: 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.

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: October 25, 2026.

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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

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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, Moda Health Plan, Inc., Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Charlotte Fox reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Seton Family Of Doctors

38 mi

Family Medicine

3001 PALM WAY, D1 : 134-138
Austin, TX 78758

Reassigned Medicare billing, Texas enrollment
1,188 clinicians in this Medicare group

NPI 1225644065 (512) 324-5938

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Quality

61.27

Promoting Interoperability

100

Improvement Activities

Cost

47.12

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.

Which organization bills Medicare for Charlotte Fox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charlotte Fox reassigns Medicare benefits to Seton Family Of Doctors (Austin, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charlotte Fox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charlotte Fox accept?

Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., 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.