Individual provider Active NPI

Charmaine B. Webley, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Springfield, MA
National Provider Identifier
1376014902
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
269816 Issued in MA
Practice address
120 Maple St Ste 205
Springfield, MA 01103-2211
Phone
(413) 579-8808
Fax
(754) 799-2825
NPI assigned
Dec 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 269816 MA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 269816 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 8457 CT
Family Nurse Practitioner 363LF0000X 8457 CT

Addresses

Primary practice location

120 Maple St Ste 205
Springfield, MA 01103-2211

Mailing address

120 Maple St Ste 205
Springfield, MA 01103-2211
Phone (413) 579-8808

Other names 1

  • Charmaine B Webley Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Raphahealthllc@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190731001263 MA Practitioner - Nurse Practitioner 4183950991 Reassigns benefits to 2 organizations
I20210728002896 CT Practitioner - Nurse Practitioner 4183950991 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Zen Wellness CareGroup PAC ID 3072919521, 4 clinicians

Practice addresses (Care Compare)

120 Maple St
Suite 205
Springfield, MA 01105-2211
Phone (413) 579-8808

699 Bloomfield Ave
Suite 205
Bloomfield, CT 06002-2462
Phone (860) 265-9309

901 Farmington Ave
West Hartford, CT 06119-1418
Phone (413) 579-8808

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
269816MAMDDiagnostic Radiology Physician
8457CTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Familycareofhartford Corp Family CurrentSince Apr 1, 2025 Accepting new patients
Rapha Health LLC Nurse Practitioner CurrentSince Aug 30, 2021 Accepting new patients
Zen Wellness Care Psychiatric/Mental Health CurrentSince Apr 30, 2023 Accepting new patients
Latino Counseling Center, Inc CurrentSince Sep 6, 2024 Accepting new patients

Locations

699 Bloomfield Ave
Ste 205
Bloomfield, CT 06002
Phone (860) 265-9309

556 Zion St
Hartford, CT 06106
Phone (860) 326-9727

901 Farmington Ave
West Hartfrd, CT 06119
Phone (413) 579-8808

121 State St
Ste 100
Springfield, MA 01103
Phone (413) 301-7797

121 State St
Springfield, MA 01103
Phone (413) 301-7797

120 Maple St
Ste 205
Springfield, MA 01103
Phone (413) 612-8248

1777 Dwight St
Springfield, MA 01107
Phone (413) 301-7797

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBABED/Endpoint/HBABED

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1376014902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MAPLE ST STE 205",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011032211",
            "telephone_number": "413-579-8808",
            "fax_number": "754-799-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MAPLE ST STE 205",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011032211",
            "telephone_number": "413-579-8808",
            "fax_number": "754-799-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBLEY",
        "first_name": "CHARMAINE",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-07",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "269816",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "269816",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "8457",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8457",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Raphahealthllc@gmail.com",
            "affiliation": "N",
            "address_1": "57 Biltmore St",
            "city": "Springfield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "011082613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHARMAINE",
            "last_name": "WEBLEY",
            "middle_name": "B",
            "credential": "FNP, PMHNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.