Active NPI
Charity A Frey, ACNP
- Acute Care Nurse Practitioner
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 71003436A
- Practice address
- 3700 Washington Ave
Evansville, IN 47714-0541 - Phone
- (812) 485-7040
- Fax
- (812) 485-7042
- NPI assigned
- Aug 26, 2010
- Last updated
- Mar 23, 2016
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 71003436A | IN | Primary |
Addresses
Primary practice location
3700 Washington Ave
Evansville, IN 47714-0541
Mailing address
PO Box 13059
Belfast, ME 04915-4021
Phone (812) 485-1220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201001750 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3700 Washington Ave
Evansville, IN 47714-0541
Phone (812) 485-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71003436A | IN | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Mary's Medical Group, LLC | Current | Accepting new patients | |
| St. Vincent Medical Group, Inc. | Current | Accepting new patients | |
| St Mary's Medical Group, LLC | Acute Care | Current | Accepting new patients |
| Primary Physicians Network LLC | Current | Accepting new patients | |
| St. Vincent Medical Group, Inc. | Current | Accepting new patients |
Locations
1116 Millis Ave
Boonville, IN 47601
Phone (812) 897-4800
801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236
801 Saint Marys Dr
#300
Evansville, IN 47714
Phone (812) 485-5300
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
3801 Bellemeade Ave
#110A
Evansville, IN 47714
3801 Bellemeade Ave
Ste 110
Evansville, IN 47714
Phone (812) 471-1200
8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702
250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331
301 Henry St
North Vernon, IN 47265
Phone (812) 352-4200
473 SE Greenville Ave
Winchester, IN 47394
Phone (765) 584-0004
Interoperability endpoints
- charity.frey.2@7598.direct.athenahealth.com
Organizations & group practices 6
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.
-
dba Ascension Medical Group St. Vincent Evansville
- Family Medicine Physician
- Evansville, IN
- NPI 1164852539
Acute Care
-
dba Ascension Medical Group St. Vincent
- Orthopaedic Surgery Physician
- Winchester, IN
- NPI 1144513375
-
dba Ascension St. Vincent Evansville
- Internal Medicine Physician
- Evansville, IN
- NPI 1497706287
-
- Family Medicine Physician
- Evansville, IN
- NPI 1578786612
-
dba Ascension Medical Group St. Vincent Evansville
- Nephrology Physician
- Evansville, IN
- NPI 1619307873
-
dba Ascension Medical Group St. Vincent
- Internal Medicine Physician
- Carmel, IN
- NPI 1811881527
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Women's Hospital
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
dba Ascension St. Vincent Evansville
- General Acute Care Hospital
- Evansville, IN
- NPI 1427082957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458691200000",
"number": "1386950533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13059",
"city": "BELFAST",
"state": "ME",
"postal_code": "049154021",
"telephone_number": "812-485-1220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 WASHINGTON AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477140541",
"telephone_number": "812-485-7040",
"fax_number": "812-485-7042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREY",
"first_name": "CHARITY",
"middle_name": "A",
"credential": "ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-26",
"last_updated": "2016-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IN",
"license": "71003436A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201001750",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.