MR. CHARLES ITOE MISORI CRNP
NPI 1629171293
Nurse Practitioner in Dallas, TX
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
Specialties & Licenses 2
Accepted 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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Charles Misori reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Forney, TX 75126
- Reassigned Medicare billing, Texas enrollment
Russellville, AL 35653
- Reassigned Medicare billing, Alabama enrollment
- 22 clinicians in this Medicare group
Decatur, AL 35601
- Reassigned Medicare billing, Alabama enrollment
- 18 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MEPhysician 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.
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.
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.
Which organizations bill Medicare for Charles Misori's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charles Misori reassigns Medicare benefits to 3 organizations: Alpha & Omega Family Practice (Forney, TX), Family Health Care Clinic, Inc. (Russellville, AL) and Sleep & Pulmonary Care Center, P.C. (Decatur, AL). Each 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 Charles Misori's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charles Misori accept?
Health plans from Blue Cross and Blue Shield of Texas list Charles Misori 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 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.
# Mr. Charles Itoe Misori, CRNP · NPI 1629171293
Nurse Practitioner physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since September 7, 2006.
## Identity
- **NPI:** 1629171293 (Entity type: Individual)
- **Enumerated:** September 7, 2006
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 1094507 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 2223 S BUCKNER BLVD, Dallas, TX 75227-8646
- **Phone:** (305) 266-2929 · **Fax:** (786) 558-0242
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Alpha & Omega Family Practice (NPI 1962332858, Forney, TX); Family Health Care Clinic, Inc. (NPI 1831322841, Russellville, AL); Sleep & Pulmonary Care Center, P.C. (NPI 1346406469, Decatur, AL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** January 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1629171293) · Data from the CMS NPPES public registry.