Charlene Marie Nagel, NP-C
Individual provider Active NPI Adult Health Nurse Practitioner · Lodi, OH
NPI 1194157768 · NPPES record last updated Jan 8, 2016
Key facts
- NPI
- 1194157768
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- COA.14785-NP (OH)
- Practice address
- 225 Elyria St
Lodi, OH 44254-1031 - Phone
- (330) 948-9939
- Fax
- (330) 948-2263
- NPI assigned
- Aug 5, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lodi Community Hospital
Practice addresses (Care Compare)
225 Elyria St
Lodi, OH 44254-1216
Phone (330) 948-5533
402 Highland Dr
Lodi, OH 44254-1216
Phone (330) 948-9939
Hospital & facility affiliations
- Lodi Community Hospital
- Medina Hospital
- Cleveland Clinic
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130910000970 | OH | Practitioner - Nurse Practitioner | 3072757152 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.14785-NP | OH | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lodi Community Hospital | Current |
Accepting new patients | |
| Lodi Community Hospital | Current |
Accepting new patients | |
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| Partners Physician Group | Past | Accepting new patients | |
| Lodi Community Care Center | Past | Accepting new patients | |
| Akron General Medical Center | Past | Accepting new patients |
Locations
1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760
221 Elyria St
Ste 102
Lodi, OH 44254
Phone (330) 948-1827
225 Elyria St
Lodi, OH 44254
Phone (330) 948-1222
Interoperability endpoints
- cnagel387186@direct.ccf.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | COA.14785-NP | OH | Yes |
Addresses
Primary practice location
225 Elyria St
Lodi, OH 44254-1031
Mailing address
225 Elyria St
Lodi, OH 44254-1031
Phone (330) 948-9939
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801807870 | Other | OH | LODI COMMUNITY HOSPITAL TYPE 2 NPI # |
| 0089483 | Medicaid | OH | |
| 3613031 | Other | OH | LODI COMMUNITY HOSPITAL MEDICARE GROUP # |
| 1003849910 | Other | OH | LODI COMMUNITY CARE CENTER TYPE 2 NPI # |
| 2396081 | Other | OH | LODI COMMUNITY HOSPITAL GROUP MEDICAID # |
Other providers in Lodi, OH
- Shannon McDonald
- Roselean Renee McDowell
- John Ignatius Meilinger
- Michael J Misencik
- Erik Joseph Modlo
- NP Wellness Care, LLC
- Sarah J Olenik
- Gabrielle Paoletta
- Steven Michael Pap
- Partners Physician Group
All providers in Lodi, OH · Adult Health Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.