Charlene Anaele, FNP
Individual provider Active NPI Family Nurse Practitioner · Clovis, NM
NPI 1013880095 · NPPES record last updated Sep 25, 2025
Key facts
- NPI
- 1013880095
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 84818 (NM)
- Practice address
- 912 W 21St St
Clovis, NM 88101-4149 - Phone
- (575) 935-9000
- Fax
- (575) 935-1002
- NPI assigned
- Sep 25, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dynamic Healthcare LLC
Practice addresses (Care Compare)
912 W 21St St
Clovis, NM 88101-4154
Phone (575) 935-9000
Hospital & facility affiliations
- Plains Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251009003907 | NM | Practitioner - Nurse Practitioner | 5496252801 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84818 | NM | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Healthcare LLC | Family | Current |
Accepting new patients |
Locations
912 W 21st St
Clovis, NM 88101
Phone (505) 762-4455
Interoperability endpoints
- charlene.anaele@363238321553412.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 84818 | NM | Yes |
Addresses
Primary practice location
912 W 21St St
Clovis, NM 88101-4149
Mailing address
912 W 21St St
Clovis, NM 88101-4149
Phone (575) 935-9000
Other providers in Clovis, NM
- Amarillo Vamc
- Maria Dolores Amaro
- Jacqueline Nicole Ambrus
- American Arthritis & Rheumatology Associates - NM LLC
- Basil A Anaele
- Ronda Renee Anaya
- Sarah Elizabeth Anderson
- Ivone Andrade
- Kynadie Andrews
- Kristian Cheyenne Antillon
All providers in Clovis, NM · Family Nurse Practitioner in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.