CHARLIE ANN BURT AGACNP-BC
NPI 1790242659
Nurse Practitioner - Acute Care in The Woodlands, TX
About Charlie Ann Burt Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLIE ANN BURT AGACNP-BC (NPI 1790242659) is an individual acute care provider in The Woodlands, Texas, licensed in Texas (AP140793) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Charlie Ann Burt Agacnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Charlie Burt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Houston, TX 77070
- Reassigned Medicare billing, Texas enrollment
- 11 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77380 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
THE WOODLANDS, TX 77380
THE WOODLANDS, TX 77380
THE WOODLANDS, TX 77380
THE WOODLANDS, TX 77380
THE WOODLANDS, TX 77380
THE WOODLANDS, TX 77380
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 Charlie Burt's NPI number?
The NPI number for Charlie Burt is 1790242659. It was assigned to this individual provider in the NPPES registry on February 27, 2019. The provider is also known as Charlie Ann Ethridge.
Where is Charlie Burt located?
Charlie Burt practices at 1111 Medical Plaza Dr Ste 250, The Woodlands, TX 77380. The listed phone number is (281) 296-8788.
What is Charlie Burt's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Charlie Burt enrolled in Medicare?
Yes. Charlie Burt is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Charlie Burt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charlie Burt reassigns Medicare benefits to Houston Pulmonary And Sleep Associates, PLLC (Houston, 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 Charlie Burt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Charlie Burt was last updated on February 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Charlie Ann Burt, AGACNP-BC · NPI 1790242659
Acute Care physician in The Woodlands, Texas. Individual provider, active in the CMS NPPES registry since February 27, 2019.
## Identity
- **NPI:** 1790242659 (Entity type: Individual)
- **Enumerated:** February 27, 2019
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** AP140793 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1111 MEDICAL PLAZA DR STE 250, The Woodlands, TX 77380-3477
- **Phone:** (281) 296-8788 · **Fax:** (281) 419-1291
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Houston Pulmonary And Sleep Associates, PLLC (NPI 1740625789, Houston, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 27, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1790242659) · Data from the CMS NPPES public registry.