Individual provider Active NPI

Charlene Deanna Dengler, DNP, FNP-BC

  • Family Nurse Practitioner
  • Midland, MI
National Provider Identifier
1700623238
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704241068 Issued in MI
Practice address
1549 Washington St
Midland, MI 48640-5685
Phone
(989) 259-1000
Fax
(989) 402-0097
NPI assigned
Jul 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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 4704241068 MI Primary

Addresses

Primary practice location

1549 Washington St
Midland, MI 48640-5685

Mailing address

PO Box 203
Shepherd, MI 48883-0203
Phone (989) 944-3485

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240918000613 MI Practitioner - Nurse Practitioner 9234670233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1549 Washington St
Midland, MI 48640-5685

1701 Lake Lansing Rd
Suite 100
Lansing, MI 48912-3798

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704241068MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Healthcare CurrentSince Jul 8, 2024 Accepting new patients
Covenant Medical Center, Inc PastSince Jul 8, 2024 Accepting new patients
Nephrology and Rheumatology Associates PLLC Past Accepting new patients

Locations

1549 Washington St
Midland, MI 48640
Phone (989) 259-1000

Interoperability endpoints

  • Direct secure messaging: charlene.dengler.1@22056.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1700623238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 203",
            "city": "SHEPHERD",
            "state": "MI",
            "postal_code": "488830203",
            "telephone_number": "989-944-3485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1549 WASHINGTON ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486405685",
            "telephone_number": "989-259-1000",
            "fax_number": "989-402-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENGLER",
        "first_name": "CHARLENE",
        "middle_name": "DEANNA",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704241068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.