Mariah Kathryn Charles, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.008012 Issued in IL

Practice address

5383 State Route 154
Pinckneyville, IL 62274-3342

Phone

(618) 357-2131

Fax

(618) 357-8844

NPI assigned

Dec 7, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Washington County Hospital DistrictGroup PAC ID 4880599844, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Washington County Hospital Hospital, Nashville, IL, CCN 141308

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mariah.charles@mbhdq.medalliesdirect.net
• Direct secure messaging: mcharles503420@direct-ehr-ssmhc.com

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.

• Washington County Hospital District

  • Critical Access Hospital
  • Nashville, IL
  • NPI 1659321560

  IL

  Medicare reassignment Care Compare group NPD
• Washington County Hospital District

  • Rural Health Clinic/Center
  • Nashville, IL
  • NPI 1316555816
  Care Compare group NPD
• Washington County Hospital District

  • Rural Health Clinic/Center
  • Nashville, IL
  • NPI 1184671463
  Care Compare group NPD (past)
• Washington County Hospital District

  • Critical Access Hospital
  • Nashville, IL
  • NPI 1477504322
  Care Compare group
• Marshall Browning Hospital Association

  • Critical Access Hospital
  • Du Quoin, IL
  • NPI 1821099441
  NPD
• Marshall Browning Hospital Association

  • Rural Health Clinic/Center
  • Du Quoin, IL
  • NPI 1912490277
  NPD

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

• Washington County Hospital District

  • Rural Health Clinic/Center
  • Nashville, IL
  • NPI 1316555816

  Hospital

  Care Compare affiliation
• Washington County Hospital District

  • Critical Access Hospital
  • Nashville, IL
  • NPI 1659321560

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1134422652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5383 STATE ROUTE 154",
            "city": "PINCKNEYVILLE",
            "state": "IL",
            "postal_code": "622743342",
            "telephone_number": "618-357-2131",
            "fax_number": "618-357-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5383 STATE ROUTE 154",
            "city": "PINCKNEYVILLE",
            "state": "IL",
            "postal_code": "622743342",
            "telephone_number": "618-357-2131",
            "fax_number": "618-357-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "MARIAH",
        "middle_name": "KATHRYN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-07",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.008012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth A Bigham, M.D.
• Rachel Bledsoe
• Bryan R Bowen, OD
• Donald C Burr, M.D.
• Ralph Kane Chapman, DENTIST DMD
• Clinic Pharmacy
• Community Cons SCH Dist 204
• Community Consolid SCH Dis 204
• Robert J Davidson, M.D.
• James Christian Denny, D.C.

• All providers in Pinckneyville, IL
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.