Individual provider Active NPI

Allison Charles, FNP

  • Family Nurse Practitioner
  • Sun City, AZ
National Provider Identifier
1215678495
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
273400 Issued in AZ
Practice address
10147 Grand Ave Ste C4
Sun City, AZ 85351-3435
Phone
(480) 616-0676
Fax
(602) 742-0315
NPI assigned
Apr 5, 2022
Last updated
Jul 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 273400 AZ Primary

Addresses

Primary practice location

10147 Grand Ave Ste C4
Sun City, AZ 85351-3435

Mailing address

P.O Box 29650 Dept # 880392
Phoenix, AZ 85038
Phone (804) 626-1746

Other practice location 1

4915 E Baseline Rd Ste 104
Gilbert, AZ 85234-2966
Phone (480) 616-0676

Other practice location 2

6036 N 19th Ave Ste 204
Phoenix, AZ 85015-2104
Phone (480) 616-0356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20220701001314 AZ Practitioner - Nurse Practitioner 0648650069 Reassigns benefits to 1 organization
Practice locations: Surprise, AZ

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acharles ConsultGroup PAC ID 6507391182, 3 clinicians

Practice addresses (Care Compare)

Surprise, AZ 85379
Phone (623) 205-1840

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Acharles Consult Family CurrentSince Oct 1, 2024 Accepting new patients

Organizations & group practices 1

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 1

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": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1215678495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 29650 DEPT # 880392",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85038",
            "telephone_number": "804-626-1746",
            "fax_number": "804-626-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10147 GRAND AVE STE C4",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513435",
            "telephone_number": "480-616-0676",
            "fax_number": "602-742-0315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4915 E Baseline Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852342966",
            "country_code": "US",
            "telephone_number": "480-616-0676",
            "fax_number": "602-742-0315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6036 N 19th Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850152104",
            "country_code": "US",
            "telephone_number": "480-616-0356",
            "fax_number": "602-742-0315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "ALLISON",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "273400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.