Individual provider Active NPI

Charlette Robinson, DNP, APRN, FNP-C

  • Primary Care Nurse Practitioner
  • Matteson, IL
National Provider Identifier
1619456548
Registry record updated Jul 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
209017917 Issued in IL
Practice address
3760 213TH PL
Matteson, IL 60443-2549
Phone
(708) 679-3385
Fax
(708) 679-3386
NPI assigned
Aug 10, 2018
Last updated
Jul 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F06180151 IL
Primary Care Nurse Practitioner 363LP2300X 209017917 IL Primary

Addresses

Primary practice location

3760 213TH PL
Matteson, IL 60443-2549

Mailing address

3760 213TH PL
Matteson, IL 60443-2549
Phone (708) 679-3385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20201215002620 IL Practitioner - Nurse Practitioner 0143632190 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Rose Healthcare Management LLCGroup PAC ID 4981010048, 18 clinicians

Practice addresses (Care Compare)

45 W 111TH St
Chicago, IL 60628-4200
Phone (773) 995-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.41 of 100Reported as group
Quality
86.81
Improvement activities
40
Cost
77.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F06180151ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Rose Healthcare Management LLC CurrentSince Jan 1, 2021 Accepting new patients
Emergency Medicine Physicians of Cook County LLC CurrentSince May 2, 2022 Accepting new patients
Cepamerica Illinois LLP CurrentSince May 3, 2023 Accepting new patients
Emerge Medstaffing LLC CurrentSince Dec 25, 2023 Accepting new patients
Emerge Medstaffing LLC Current Accepting new patients
Cepamerica Illinois LLP CurrentSince May 3, 2023 Accepting new patients
Cepamerica Illinois LLP Current Accepting new patients
Emergency Medical Specialists, II, S.C. Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

45 W 111th St
Chicago, IL 60628
Phone (773) 995-3000

30 E 15th St
Chicago Hts, IL 60411
Phone (312) 206-1064

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

20180 S Lagrange Rd
Frankfort, IL 60423
Phone (630) 362-1035

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

Organizations & group practices 8

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": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594425600000",
    "number": "1619456548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 213TH PL",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432549",
            "telephone_number": "708-679-3385",
            "fax_number": "708-679-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 213TH PL",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432549",
            "telephone_number": "708-679-3385",
            "fax_number": "708-679-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "CHARLETTE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-10",
        "last_updated": "2020-07-11",
        "certification_date": "2020-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "F06180151",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209017917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matteson, IL

Sources for this page

Verify at the official NPI Registry.