Individual provider Active NPI

Lesley Nicole Charles

  • Family Nurse Practitioner
  • Milford, CT
National Provider Identifier
1376940635
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5995 Issued in CT
Practice address
203 Broad Street
Suite C3
Milford, CT 06460
Phone
(203) 871-1953
Fax
(475) 275-7232
NPI assigned
Dec 1, 2014
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 5995 CT Primary

Addresses

Primary practice location

203 Broad Street
Suite C3
Milford, CT 06460

Mailing address

203 Broad Street
Suite C3
Milford, CT 06460
Phone (203) 871-1953

Other identifiers 1

IdentifierTypeStateIssuer
008057120MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20150130000165 CT Practitioner - Nurse Practitioner 3971827593 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians
Back to Health of Branford LLCGroup PAC ID 9739155045, 4 clinicians

Practice addresses (Care Compare)

203 Broad St
Unit 3C
Milford, CT 06460-4749
Phone (203) 871-1953

2800 Main St
Bridgeport, CT 06606-4201
Phone (475) 210-5242

400 W Main St
Branford, CT 06405-3416
Phone (203) 483-7778

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Jul 1, 2021 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince May 15, 2021 Accepting new patients
Midstate Medical Center Current Accepting new patients
Back to Health of Branford, LLC Family CurrentSince Aug 1, 2016 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jul 1, 2021 Accepting new patients
Midstate Medical Center CurrentSince May 15, 2021 Accepting new patients
Midstate Medical Center CurrentSince May 15, 2021 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince May 15, 2021 Accepting new patients

Locations

400 W Main St
Branford, CT 06405
Phone (203) 483-7778

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

Organizations & group practices 9

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": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376940635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 BROAD STREET",
            "address_2": "SUITE C3",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "06460",
            "telephone_number": "203-871-1953",
            "fax_number": "475-275-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 BROAD STREET",
            "address_2": "SUITE C3",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "06460",
            "telephone_number": "203-871-1953",
            "fax_number": "475-275-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "LESLEY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-01",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "5995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008057120",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.