Anne Elizabeth Charles, DNP, FNP-C, CNM
Individual provider Active NPI Family Nurse Practitioner · Plymouth, NC
NPI 1487869707 · NPPES record last updated Mar 16, 2015
Key facts
- NPI
- 1487869707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5004083 (NC)
- Practice address
- 198 NC Highway 45 N
Martin-Tyrrell-Washington District Health Department
Plymouth, NC 27962-9232 - Phone
- (252) 793-1751
- Fax
- (252) 766-3376
- NPI assigned
- May 11, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Colorado School of Medicine, Denver, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Martin Tyrrell Washington District Health Department
Practice addresses (Care Compare)
198 NC Hwy 45 N
Plymouth, NC 27962-9232
Phone (252) 791-3133
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190930000806 | NC | Practitioner - Nurse Practitioner | 3476733304 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5004083 | NC | MD | Family Nurse Practitioner |
Interoperability endpoints
- anne.charles@direct.mtwdhhealth.nchie.net
- acharles@mtw.curemd.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 157284 | NC | |
| Family Nurse Practitioner | 363LF0000X | 5004083 | NC | Yes |
Addresses
Primary practice location
198 NC Highway 45 N
Martin-Tyrrell-Washington District Health Department
Plymouth, NC 27962-9232
Mailing address
198 NC Highway 45 N
Plymouth, NC 27962-9232
Phone (252) 793-3023
Other providers in Plymouth, NC
- Centennial Housing & Community Services Corporation
- Centennial Housing & Community Services Corporation
- Centennial Housing & Community Services Corporation
- Peter Champion
- Changing Hearts Instead of Losing Lives, Inc
- Margaret Susan Cody
- Community Alignments & Adjustments
- Chester Lee Conner
- County of Washington
- County of Washington
All providers in Plymouth, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.