CHARLI TEXADA (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1639914716

CHARLI TEXADA (PMHNP) is a healthcare provider. based in Richardson, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 1169248 (TX). The NPI Number for CHARLI TEXADA (PMHNP) is 1639914716

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
CHARLI TEXADA (PMHNP)
NPI
1639914716
Phone
(817) 527-8621
Address
2221 Lakeside Blvd Ste 1225
Enumeration Date
28 June 2024
Last Update Date
29 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2024 (2 years ago)
PAC ID
6800391822
Professional Enrollment ID
I20250922003758
Address ID
UT840436475LE3300XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for CHARLI TEXADA (PMHNP)

  • 2221 Lakeside Blvd Ste 1225

    Richardson, TX 750824370

    Phone: (817) 527-8621

    Type: Location

  • 10622 State Highway 151 Ste 209

    San Antonio, TX 782514864

    Phone: (726) 207-5519

    Type: Location

  • 18615 Tuscany Stone Ste 250

    San Antonio, TX 782583504

    Phone: (801) 821-2781

    Fax: (801) 901-1194

    Type: Location

  • 6500 West Fwy Ste 700

    Fort Worth, TX 761162167

    Phone: (801) 821-2781

    Fax: (801) 901-1194

    Type: Location

  • 9600 N Mopac Expy Ste 225

    Austin, TX 787596507

    Phone: (512) 955-8474

    Type: Location

  • 1415 Legacy Dr Ste 220

    Frisco, TX 750346025

    Phone: (817) 527-8621

    Type: Location

  • 3800 Gaylord Pkwy Ste 1100

    Frisco, TX 750349416

    Phone: (801) 821-2781

    Fax: (801) 901-1194

    Type: Location

  • 9600 N Mopac Expy Ste 650

    Austin, TX 787596507

    Phone: (801) 821-2781

    Fax: (801) 901-1194

    Type: Location

  • 1507 Lyndon B Johnson Fwy Ste 750

    Dallas, TX 752346088

    Phone: (817) 527-8621

    Type: Location

  • 600 Six Flags Dr Ste 600

    Arlington, TX 760116340

    Phone: (817) 527-8621

    Type: Location

  • 8080 N Central Expy Ste 1250

    Dallas, TX 752061890

    Phone: (817) 527-8621

    Type: Location

  • 6300 Bridge Point Pkwy

    Austin, TX 787305073

    Phone: (801) 821-2781

    Fax: (801) 901-1194

    Type: Location

  • 3355 W Alabama St Ste 1100

    Houston, TX 770981868

    Phone: (801) 821-2781

    Fax: (801) 901-1194

    Type: Location

  • 3300 N TRIUMPH BLVD STE 500

    LEHI, UT 840436475

    Phone: (801) 821-2781

    Type: Mailing

  • 431 E STATE HIGHWAY 114 STE 400

    SOUTHLAKE, TX 760924412

    Phone: (801) 821-2781

    Fax: (801) 901-1194

    Type: Location

  • 3 Sugar Creek Center Blvd Ste 600

    Sugar Land, TX 774782213

    Phone: (801) 821-2781

    Fax: (801) 901-1194

    Type: Location

  • 1507 Lyndon B Johnson Fwy Ste 270

    Farmers Branch, TX 752346088

    Phone: (817) 527-8621

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250922003758INurse PractitionerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75082)

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Reviews

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Frequently asked questions

Does CHARLI TEXADA (PMHNP) have a public NPI I can cite?
Public records show CHARLI TEXADA (PMHNP) under NPI 1639914716.
Is CHARLI TEXADA (PMHNP) currently accepting referrals based on NPI status?
Registry metadata lists CHARLI TEXADA (PMHNP) as active.
What type of care does CHARLI TEXADA (PMHNP) provide?
CHARLI TEXADA (PMHNP)'s profile centers on Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CHARLI TEXADA (PMHNP)?
CHARLI TEXADA (PMHNP) is associated with Richardson, Texas in the same public data insurers reference.
Who maintains CHARLI TEXADA (PMHNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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