Active NPI
Sarahlouise Charnesky
- Primary Care Nurse Practitioner
- Howell, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 4704340473
- Practice address
- 3611 Dona Marie Dr
Howell, MI 48843-8965 - Phone
- (734) 330-9926
- NPI assigned
- Nov 12, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703114315 | MI | |
| Primary Care Nurse Practitioner | 363LP2300X | 4704340473 | MI | Primary |
Addresses
Primary practice location
3611 Dona Marie Dr
Howell, MI 48843-8965
Mailing address
1014 E Grand River Ave
Brighton, MI 48116-1804
Phone (734) 330-9926
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240919000096 | MI | Practitioner - Nurse Practitioner | 5193266005 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15870 N Haggerty Rd
Plymouth, MI 48170-4872
Phone (734) 420-7917
202 S Bridge St
Linden, MI 48451-8805
Phone (810) 735-9400
25500 Meadowbrook Rd
Suite 208
Novi, MI 48375-1882
Phone (248) 200-9240
555 Highland Ave
Milford, MI 48381-1517
Phone (248) 684-1564
625 36TH St SW
Wyoming, MI 49509-4004
Phone (616) 531-0200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703114315 | MI | MD | Licensed Practical Nurse |
| 4704340473 | MI | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Right Health PC | Current | Accepting new patients | |
| Michigan Post-Acute Medical Services 1 PC | Current | Accepting new patients | |
| Mi Pacs 2 PC | Current | Accepting new patients | |
| CS Pacs 3 Midwest LLC | Current | Accepting new patients | |
| Right Health PC | Current | Accepting new patients | |
| Vedha Health Services PLLC | Past | Accepting new patients |
Locations
22600 W Main St
Armada, MI 48005
Phone (734) 508-4569
1014 E Grand River Ave
Brighton, MI 48116
Phone (810) 220-5222
12200 Broadbent Rd
Lansing, MI 48917
Phone (517) 731-6200
3310 W Commerce Rd
Milford, MI 48380
Phone (248) 685-1400
555 Highland Ave
Milford, MI 48381
Phone (248) 684-1564
25500 Meadowbrook Rd
Ste 208
Novi, MI 48375
Phone (248) 200-9240
1950 E Wattles Rd
Ste 110
Troy, MI 48085
Phone (248) 453-9883
6827 Whitehall Rd
Whitehall, MI 49461
Phone (231) 893-8730
625 36th St SW
Wyoming, MI 49509
Phone (517) 481-3715
Interoperability endpoints
- sarahlouise.charnesky.1@31553.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 and National Provider Directory roles.
-
- General Practice Physician
- Troy, MI
- NPI 1366205122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1497128474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1014 E GRAND RIVER AVE",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481161804",
"telephone_number": "734-330-9926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3611 DONA MARIE DR",
"city": "HOWELL",
"state": "MI",
"postal_code": "488438965",
"telephone_number": "734-330-9926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARNESKY",
"first_name": "SARAHLOUISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-12",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MI",
"license": "4703114315",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MI",
"license": "4704340473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Howell, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.