Junnie Angelina Charles, ARNP

Key facts

NPI

1780197194

Entity type

Individual (NPI type 1)

Primary specialty

Gerontology Nurse Practitioner 363LG0600X

License

2321259 (MA)

Practice address

70 Fulton St
Boston, MA 02109-1402

Phone

(781) 404-7045

NPI assigned

Nov 7, 2017

Sex

Female

Sole proprietor

Yes

Organizations & group practices 9

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.

• CH Specialty Services Ma PC Internal Medicine Physician · Springfield, MA · NPI 1902510720
  Medicare reassignment Care Compare group NPD MA
• Curana Health of Massachusetts LLC Internal Medicine Physician · Springfield, MA · NPI 1154779445
  Medicare reassignment Care Compare group NPD MA
• HDC Care Solutions, LLC Nurse Practitioner · Framingham, MA · NPI 1033861349
  Medicare reassignment Care Compare group NPD GERONTOLOGY · RI
• Value Based Long Term Care H PC Geriatric Medicine (Internal Medicine) Physician · Framingham, MA · NPI 1134951676
  Medicare reassignment Care Compare group NPD RI
• New England Hospitalists PC Internal Medicine Physician · Worcester, MA · NPI 1487803052
  Medicare reassignment NPD MA
• Healthdrive Medical Services Southeast LLC Nurse Practitioner · Columbia, MD · NPI 1437930146
  Medicare reassignment NPD GERONTOLOGY · RI
• Medicine and Long Term Care Associates, LLC Internal Medicine Physician · Cranston, RI · NPI 1073539227
  Medicare reassignment NPD RI
• C&S Anesthesia LLC Anesthesiology Physician · Franklin, MA · NPI 1396241519
  NPD (past)
• Neh Healthcare LLC Internal Medicine Physician · Worcester, MA · NPI 1043037096
  NPD (past)

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

HDC Care Solutions LLC (190 clinicians)
Value Based Long Term Care H PC (145 clinicians)
Curana Health of Massachusetts LLC (85 clinicians)
CH Specialty Services Ma PC (87 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in RI, MA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 7, 2019.

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1780197194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 FULTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021091402",
            "telephone_number": "781-404-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 FULTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021091402",
            "telephone_number": "781-404-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "JUNNIE",
        "middle_name": "ANGELINA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "2321259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

• Charles Trey M D & Associates P C
• Antoinette Jasmine Charles
• Berline Charles
• Evena Charles, RN
• Julia F. Charles, M.D., PH.D.
• Richelle Candice Charles, MD
• Christel Charlesworth
• Cameau Charleus
• Marjory Charlot, M.D.
• Michael Lee Charney, M.D.

All providers in Boston, MA · Gerontology Nurse Practitioner in Massachusetts