Individual provider Active NPI

Charlene Charisse Hollins, FNP

  • Family Nurse Practitioner
  • Canton, MA
National Provider Identifier
1174084842
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2261067 Issued in MA
Practice address
715B Washington St
Canton, MA 02021-3037
Phone
(978) 222-0024
Fax
(617) 582-2373
NPI assigned
Mar 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2261067 MA
Family Nurse Practitioner 363LF0000X RN2261067 MA Primary

Addresses

Primary practice location

715B Washington St
Canton, MA 02021-3037

Mailing address

715B Washington St
Canton, MA 02021-3037
Phone (978) 222-0024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20200114002794 MA Practitioner - Nurse Practitioner 5496180770 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

715 B Washington St
Canton, MA 02021-3037
Phone (978) 222-0024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2261067MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Equitablecare4U Urgent Care Center, PLLC CurrentSince Jul 1, 2024 Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince Dec 21, 2020 Accepting new patients
Walk-in MD Clinic CurrentSince Jul 1, 2024 Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince Dec 21, 2020 Accepting new patients
The General Hospital Corporation CurrentSince Nov 1, 2023 Accepting new patients
Brigham & Womens Physicians Organization Inc CurrentSince Nov 1, 2023 Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Nov 1, 2023 Accepting new patients
General Hospital Corp Current Accepting new patients
Carecentral Urgent Care Medical Group PC Past Accepting new patients
Walk-in MD Clinic PastSince Jul 1, 2024 Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

75 Francis St
Boston, MA 02115

1285 Beacon St
Brookline, MA 02446
Phone (617) 751-6205

715B Washington St
Canton, MA 02021
Phone (781) 713-4040

715 Washington St
#B
Canton, MA 02021
Phone (978) 412-3247

81 Memorial Pkwy
Randolph, MA 02368
Phone (781) 437-4448

Interoperability endpoints

  • Direct secure messaging: hollins.charlene.mgh@direct.partners.masshiway.net

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1174084842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715B WASHINGTON ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020213037",
            "telephone_number": "978-222-0024",
            "fax_number": "978-222-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715B WASHINGTON ST",
            "city": "CANTON",
            "state": "MA",
            "postal_code": "020213037",
            "telephone_number": "978-222-0024",
            "fax_number": "617-582-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINS",
        "first_name": "CHARLENE",
        "middle_name": "CHARISSE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2261067",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2261067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MA

Sources for this page

Verify at the official NPI Registry.