Individual provider Active NPI

Charlene Parks, CNP

  • Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1033614383
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CNP-03413 Issued in NM
Practice address
1100 Central Ave SE
Albuquerque, NM 87106-4930
Phone
(505) 923-7971
NPI assigned
Mar 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP03413 NM
Nurse Practitioner 363L00000X CNP-03413 NM Primary

Addresses

Primary practice location

1100 Central Ave SE
Albuquerque, NM 87106-4930

Mailing address

2129 Osuna Rd NE
Ste C
Albuquerque, NM 87113-1002
Phone (505) 898-2468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180509000690 NM Practitioner - Nurse Practitioner 9931463494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
House Calls of New Mexico LLCGroup PAC ID 0345291191, 9 clinicians
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

2129 Osuna Rd NE
Suite C
Albuquerque, NM 87113-1002
Phone (505) 554-4080

5901 Harper Dr NE
Albuquerque, NM 87109-3587
Phone (505) 823-8888

Hospital & facility affiliations

  • Ambercare Home Health Home health agency, Belen, NM, CCN 327123
  • Klarus Home Care, LLC Home health agency, Albuquerque, NM, CCN 327213
  • Luna Vista Home Healthcare, LLC Home health agency, Albuquerque, NM, CCN 327224
  • Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP-03413NMMDNurse Practitioner
CNP03413NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince Jun 11, 2018 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jun 11, 2018 Accepting new patients
House Calls of New Mexico LLC CurrentSince Jun 1, 2022 Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients

Locations

2300 Warrenville Rd
Ste 100
Downers Grove, IL 60515
Phone (630) 296-3400

801 Warrenville Rd
Ste 800
Lisle, IL 60532

4588 Paradise Blvd NW
Albuquerque, NM 87114
Phone (505) 923-2070

2129 Osuna Rd NE
Ste C
Albuquerque, NM 87113
Phone (505) 554-4080

5901 Harper Dr NE
Albuquerque, NM 87109
Phone (505) 823-8233

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

2129 Osuna Rd NE
Albuquerque, NM 87113
Phone (505) 244-0046

3901 Atrisco Dr NW
Albuquerque, NM 87120
Phone (505) 462-7575

609 Christopher Dr
Belen, NM 87002
Phone (505) 861-1771

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

4100 High Resort Blvd SE
Rio Rancho, NM 87124
Phone (505) 291-2770

4801 Beckner Rd
Santa Fe, NM 87507
Phone (505) 772-1234

6303 Cowboys Way
Ste 600
Frisco, TX 75034

Interoperability endpoints

  • Direct secure messaging: cparks119823@direct.phs.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1033614383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2129 OSUNA RD NE",
            "address_2": "STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131002",
            "telephone_number": "505-898-2468",
            "fax_number": "505-898-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CENTRAL AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064930",
            "telephone_number": "505-923-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "CHARLENE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP03413",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "CNP-03413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.