Individual provider Active NPI

Charlene Marie Nagel, NP-C

  • Adult Health Nurse Practitioner
  • Lodi, OH
National Provider Identifier
1194157768
Registry record updated Jan 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
COA.14785-NP Issued in OH
Practice address
225 Elyria St
Lodi, OH 44254-1031
Phone
(330) 948-9939
Fax
(330) 948-2263
NPI assigned
Aug 5, 2013
Last updated
Jan 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X COA.14785-NP OH Primary

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 5

IdentifierTypeStateIssuer
1003849910OtherOHLODI COMMUNITY CARE CENTER TYPE 2 NPI #
0089483MedicaidOH
1801807870OtherOHLODI COMMUNITY HOSPITAL TYPE 2 NPI #
2396081OtherOHLODI COMMUNITY HOSPITAL GROUP MEDICAID #
3613031OtherOHLODI COMMUNITY HOSPITAL MEDICARE GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20130910000970 OH Practitioner - Nurse Practitioner 3072757152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lodi Community HospitalGroup PAC ID 0547237927, 4 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.14785-NPOHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Lodi Community Hospital CurrentSince Sep 9, 2013 Accepting new patients
Lodi Community Hospital CurrentSince Sep 9, 2013 Accepting new patients
Lodi Community Care Center Past Accepting new patients
Partners Physician Group 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

  • Direct secure messaging: cnagel387186@direct.ccf.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452211200000",
    "number": "1194157768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 ELYRIA ST",
            "city": "LODI",
            "state": "OH",
            "postal_code": "442541031",
            "telephone_number": "330-948-9939",
            "fax_number": "330-948-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 ELYRIA ST",
            "city": "LODI",
            "state": "OH",
            "postal_code": "442541031",
            "telephone_number": "330-948-9939",
            "fax_number": "330-948-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGEL",
        "first_name": "CHARLENE",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2016-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA.14785-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LODI COMMUNITY CARE CENTER TYPE 2 NPI #",
            "identifier": "1003849910",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0089483",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LODI COMMUNITY HOSPITAL TYPE 2 NPI #",
            "identifier": "1801807870",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LODI COMMUNITY HOSPITAL GROUP MEDICAID #",
            "identifier": "2396081",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LODI COMMUNITY HOSPITAL MEDICARE GROUP #",
            "identifier": "3613031",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, OH

Sources for this page

Verify at the official NPI Registry.