Individual provider Active NPI

Charlotte Lucinda Marek, WHNP-BC

  • Women's Health Nurse Practitioner
  • Troy, NY
National Provider Identifier
1174398382
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
421716 Issued in NY
Practice address
198 Pawling Ave Apt 15
Troy, NY 12180-4817
Phone
(845) 489-2903
NPI assigned
Nov 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 421716 NY Primary

Addresses

Primary practice location

198 Pawling Ave Apt 15
Troy, NY 12180-4817

Mailing address

198 Pawling Ave Apt 15
Troy, NY 12180-4817
Phone (845) 489-2903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240119000069 NY Practitioner - Nurse Practitioner 0244682839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upper Hudson Planned Parenthood IncGroup PAC ID 4284803743, 12 clinicians

Practice addresses (Care Compare)

804 Coumbia St
Hudson, NY 12534-2306
Phone (518) 828-4675

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Hudson Planned Parenthood Inc. CurrentSince Oct 28, 2023 Accepting new patients
Planned Parenthood of Central and Western New York, Inc Women'S Health PastSince Oct 28, 2023 Accepting new patients

Locations

855 Central Ave
Albany, NY 12206
Phone (518) 434-5678

855 Central Ave
Ste 3
Albany, NY 12206
Phone (518) 434-5678

804 Columbia St
Hudson, NY 12534
Phone 5184345678 ext. 210

120 Hoosick St
Ste 12
Troy, NY 12180
Phone (518) 434-5678

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: charlotte.marek.p6@direct.usppny.nextgenshare.com

Organizations & group practices 2

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": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1174398382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 PAWLING AVE APT 15",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121804817",
            "telephone_number": "845-489-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 PAWLING AVE APT 15",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121804817",
            "telephone_number": "845-489-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAREK",
        "first_name": "CHARLOTTE",
        "middle_name": "LUCINDA",
        "name_prefix": "Ms.",
        "credential": "WHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "421716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

Verify at the official NPI Registry.