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MR. CHARLES ITOE MISORI CRNP
NPI 1629171293
Nurse Practitioner in Dallas, TX

Active since September 07, 2006PECOS EnrolledAccepts Medicare Assignment
2223 S BUCKNER BLVD, DALLAS, TX 75227(305) 266-2929(786) 558-0242 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mr. Charles Itoe Misori Crnp NPPES

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

MR. CHARLES ITOE MISORI CRNP (NPI 1629171293) is an individual nurse practitioner in Dallas, Texas, licensed in Alabama (1094507) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Northern Light A R Gould Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1629171293
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. CHARLES ITOE MISORICredential: CRNP
Location Address2223 S BUCKNER BLVDDallas, TX 75227-8646
Mailing Address14500 Dallas PkwyDallas, TX 75254-8360 · (256) 694-1277
Phone(305) 266-2929
Fax(786) 558-0242
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 7, 2006
Last NPPES UpdateJanuary 5, 2023
NPPES CertifiedJanuary 5, 2023
✔ NPI 1629171293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AL · 1094507
Definition
(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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 1094507 (AL)
2223 S BUCKNER BLVD, Dallas, TX 75227
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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

Mr. Charles Itoe Misori Crnp 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 ID6709885338
PECOS Enrollment IDI20251117002620, I20260604000080
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.

Hospital Affiliations CMS Care Compare

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

Northern Light A R Gould Hospital

Acute Care Hospitals · Presque Isle, ME
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200018
LocationPO Box 151Presque Isle, ME 04769 · Aroostook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75227 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Other Providers at the Same Location NPPES 4

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

CENTRUM MEDICAL GROUP, PLLC
General Practice
2223 S BUCKNER BLVD
DALLAS, TX 75227
Dallas County (800) 218-8989
NATIONAL VISION, INC.
Technician/Technologist (Optician)
2223 S BUCKNER BLVD, 235
DALLAS, TX 75227
Dallas County (469) 357-3678
TACY MARY JESTIN O.D.
Optometrist
2223 S BUCKNER BLVD, #235
DALLAS, TX 75227
Dallas County (469) 357-3678
DR. ZYDNIA MICHELLE MARRERO D.M.D
Dentist
2223 S BUCKNER BLVD
DALLAS, TX 75227
Dallas County (972) 708-4000

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 Charles Misori's NPI number?

The NPI number for Charles Misori is 1629171293. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Charles Misori located?

Charles Misori practices at 2223 S Buckner Blvd, Dallas, TX 75227. The listed phone number is (305) 266-2929.

What is Charles Misori's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Charles Misori enrolled in Medicare?

Yes. Charles Misori 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.

Is Charles Misori affiliated with any hospitals?

According to CMS data, Charles Misori is affiliated with Northern Light A R Gould Hospital.

When was this NPI record last updated?

The NPPES record for Charles Misori was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.