Active NPI
Charnelle Rose, DNP, APRN-C, WHNP-BC
- Women's Health Nurse Practitioner
- Oklahoma City, OK
National Provider Identifier
1356853295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- R0103958
- Practice address
- 4117 NW 122ND Street, Ste 1
Inside Brow & Skin Co
Oklahoma City, OK 73120 - Phone
- (405) 963-2528
- Fax
- (405) 337-9611
- NPI assigned
- Nov 1, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | R0103958 | OK | Primary |
Addresses
Primary practice location
4117 NW 122ND Street, Ste 1
Inside Brow & Skin Co
Oklahoma City, OK 73120
Mailing address
4117 NW 122ND Street, Ste 1
Inside Brow & Skin Co
Oklahoma City, OK 73120
Phone (405) 963-2528
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2023 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0103958 | OK | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Center | Past | Accepting new patients |
Interoperability endpoints
- ccomfort376163@direct.ochin.org
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1356853295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4117 NW 122ND STREET, STE 1",
"address_2": "INSIDE BROW & SKIN CO",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73120",
"telephone_number": "405-963-2528",
"fax_number": "405-337-9611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4117 NW 122ND STREET, STE 1",
"address_2": "INSIDE BROW & SKIN CO",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73120",
"telephone_number": "405-963-2528",
"fax_number": "405-337-9611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSE",
"first_name": "CHARNELLE",
"credential": "DNP, APRN-C, WHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-01",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "OK",
"license": "R0103958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.