Individual provider Active NPI

Charlotte Vermeulen, CRNP

  • Family Nurse Practitioner
  • New Kensington, PA
National Provider Identifier
1225469901
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SPO13456 Issued in PA
Practice address
943 Fourth Ave
New Kensington, PA 15068-6409
Phone
(724) 335-3334
Fax
(724) 335-2283
NPI assigned
Dec 6, 2013
Last updated
May 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

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 SPO13456 PA Primary

Addresses

Primary practice location

943 Fourth Ave
New Kensington, PA 15068-6409

Mailing address

2006 Coal Hollow Rd
Apollo, PA 15613-9024
Phone (724) 727-3614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160503000461 PA Practitioner - Nurse Practitioner 3072812619 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SPO13456PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Clinic, Inc. CurrentSince Mar 12, 2016 Accepting new patients
Community Health Clinic, Inc. PastSince Mar 12, 2016 Accepting new patients

Locations

943 4th Ave
New Kensington, PA 15068
Phone (724) 335-3334

179 Columbia Ave
Vandergrift, PA 15690
Phone (412) 567-5671

Interoperability endpoints

  • Direct secure messaging: charlotte.vermeulen@direct.commhealthclinic.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1225469901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 COAL HOLLOW RD",
            "city": "APOLLO",
            "state": "PA",
            "postal_code": "156139024",
            "telephone_number": "724-727-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 FOURTH AVE",
            "city": "NEW KENSINGTON",
            "state": "PA",
            "postal_code": "150686409",
            "telephone_number": "724-335-3334",
            "fax_number": "724-335-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMEULEN",
        "first_name": "CHARLOTTE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-06",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SPO13456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Kensington, PA

Sources for this page

Verify at the official NPI Registry.