Charter Health PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

249997 Issued in MA

Legal business name

CHARTER HEALTH PC

Practice address

55 Highland Ave Ste 304
Salem, MA 01970-2100

Phone

(978) 354-4611

NPI assigned

Dec 2, 2016

Organization subpart

No

Name

Dr. Hans C Jeppesen, M.D.NPI 1669678298

Title

Ceo

Phone

(763) 350-6598

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hans C Jeppesen, M.D.

  • Internal Medicine Physician
  • Salem, MA
  • NPI 1669678298

  Internal Medicine, MA

  Medicare reassignment Care Compare group NPD Authorized official
• Samantha Nicole Amico, FNP-BC

  • Family Nurse Practitioner
  • Arlington, MA
  • NPI 1255291878

  MA

  Medicare reassignment Care Compare group NPD
• Jenya Appleton, CNP

  • Family Nurse Practitioner
  • Salem, MA
  • NPI 1679923775

  MA

  Medicare reassignment Care Compare group NPD
• Maria Dalomba

  • Family Nurse Practitioner
  • Lawrence, MA
  • NPI 1548704828

  MA

  Medicare reassignment Care Compare group NPD
• Jonadab Erhahon

  • Psychiatric/Mental Health Nurse Practitioner
  • Lynn, MA
  • NPI 1073240149

  MA

  Medicare reassignment Care Compare group NPD
• Divine C Ezewuzie, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Malden, MA
  • NPI 1831437011

  MA

  Medicare reassignment Care Compare group NPD
• Denise K Gafanhao, N.P.

  • Nurse Practitioner
  • Salem, MA
  • NPI 1912035650

  MA

  Medicare reassignment Care Compare group NPD
• Aleksandra Golly, RN, FNP-BC

  • Family Nurse Practitioner
  • Chelmsford, MA
  • NPI 1215606678

  MA

  Medicare reassignment Care Compare group NPD
• Alla Mikhaylovna Guenin, MD

  • Internal Medicine Physician
  • Salem, MA
  • NPI 1275802324

  Internal Medicine, MA

  Medicare reassignment Care Compare group NPD
• Meredith Anne Johnson

  • Clinical Social Worker
  • Chelsea, MA
  • NPI 1730497157

  MA

  Medicare reassignment Care Compare group NPD
• Paige Katzenstein, RD

  • Registered Dietitian
  • Cambridge, MA
  • NPI 1548389448

  MA

  Medicare reassignment Care Compare group NPD
• Olga Kim-Hodgkins

  • Adult Health Nurse Practitioner
  • Gloucester, MA
  • NPI 1598368664

  MA

  Medicare reassignment Care Compare group NPD

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in MA

Locations

Interoperability endpoints

• Direct secure messaging: jeppesen.hans.ch@direct.partners.masshiway.net
• Direct secure messaging: saini.gurpreet.ch@direct.partners.masshiway.net
• Direct secure messaging: appleton.jenya.ch@direct.partners.masshiway.net
• Direct secure messaging: gafanhao.denise.ch@direct.partners.masshiway.net
• Direct secure messaging: nugent.samantha.ch@direct.partners.masshiway.net
• Direct secure messaging: herron.katina.ch@direct.partners.masshiway.net
• Direct secure messaging: guenin.alla.ch@direct.partners.masshiway.net

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 13, 2021.

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1750824124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HIGHLAND AVE STE 304",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702100",
            "telephone_number": "978-354-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HIGHLAND AVE STE 304",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702100",
            "telephone_number": "978-354-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARTER HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-02",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "JEPPESEN",
        "authorized_official_first_name": "HANS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-350-6598",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "249997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth M Chacko, CRNA, APRN
• Katharine Chamberlin, PNP
• Mony D Chan, NP
• Poongodi Chandrasekaran, MD
• Justin Charak
• Charter LTC LLC
• Kylee Jean Chase
• Krista Suzanne Chavez, RN, FNP
• Vandna Sudeep Chawla, DMD
• Cheryl L. Schilling, LMFT, PC

• All providers in Salem, MA
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.