Individual provider Active NPI

Charlene Marie Pagel, CNM

  • Advanced Practice Midwife
  • Appleton, WI
National Provider Identifier
1174343867
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
150069-32 Issued in WI
Practice address
301 E 1St Ave
Appleton, WI 54911-1306
Phone
(920) 574-3074
Fax
(920) 574-9502
NPI assigned
Oct 16, 2024
Last updated
Oct 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 150069-32 WI Primary
Lactation Consultant (Non-RN) 174N00000X L-162701 WI

Addresses

Primary practice location

301 E 1St Ave
Appleton, WI 54911-1306

Mailing address

1419 W 3Rd Ave
Oshkosh, WI 54902-5603
Phone (920) 252-1678

Other names 1

  • Charlene Marie Reierson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
L-162701WIMDLactation Consultant (Non-RN)
150069-32WIMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1174343867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 W 3RD AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549025603",
            "telephone_number": "920-252-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E 1ST AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549111306",
            "telephone_number": "920-574-3074",
            "fax_number": "920-574-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGEL",
        "first_name": "CHARLENE",
        "middle_name": "MARIE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WI",
            "license": "150069-32",
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "WI",
            "license": "L-162701",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLENE",
            "last_name": "REIERSON",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.