Individual provider Active NPI

Junnie Angelina Charles, ARNP

  • Gerontology Nurse Practitioner
  • Boston, MA
National Provider Identifier
1780197194
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
2321259 Issued in MA
Practice address
70 Fulton St
Boston, MA 02109-1402
Phone
(781) 404-7045
NPI assigned
Nov 7, 2017
Last updated
May 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 2321259 MA Primary

Addresses

Primary practice location

70 Fulton St
Boston, MA 02109-1402

Mailing address

70 Fulton St
Boston, MA 02109-1402
Phone (781) 404-7045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180522001958 RI Practitioner - Nurse Practitioner 2567727571 Reassigns benefits to 4 organizations
I20190520000127 MA Practitioner - Nurse Practitioner 2567727571 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HDC Care Solutions LLCGroup PAC ID 0345634770, 190 clinicians
Value Based Long Term Care H PCGroup PAC ID 4587104641, 145 clinicians
Curana Health of Massachusetts LLCGroup PAC ID 4688967763, 85 clinicians
CH Specialty Services Ma PCGroup PAC ID 9931571437, 87 clinicians

Practice addresses (Care Compare)

135 Dodge St
Providence, RI 02907-2210
Phone (888) 964-6681

64 Performance Dr
Weymouth, MA 02189-3104
Phone (781) 340-9800

819 Worcester St
Suite 1
Springfield, MA 01151-1056
Phone (337) 408-0805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2321259MAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HDC Care Solutions, LLC Gerontology CurrentSince May 1, 2022 Accepting new patients
Medicine and Long Term Care Associates, LLC CurrentSince May 1, 2018 Accepting new patients
Value Based Long Term Care H PC CurrentSince May 10, 2025 Accepting new patients
Curana Health of Massachusetts LLC CurrentSince Aug 9, 2021 Accepting new patients
Healthdrive Medical Services Southeast LLC Gerontology CurrentSince Aug 1, 2025 Accepting new patients
New England Hospitalists PC CurrentSince Sep 7, 2025 Accepting new patients
CH Specialty Services Ma PC CurrentSince Jan 8, 2024 Accepting new patients
Neh Healthcare LLC PastSince Sep 1, 2025 Accepting new patients
C&S Anesthesia LLC PastSince May 1, 2021 Accepting new patients

Locations

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

819 Worcester St
Ste 1
Springfield, MA 01151
Phone (337) 408-0805

64 Performance Dr
Weymouth, MA 02189
Phone (781) 340-9800

475 Pleasant St
Ste D
Worcester, MA 01609
Phone (508) 753-4151

544 Main St
Worcester, MA 01608
Phone (508) 753-4151

333 Budlong Rd
Cranston, RI 02920
Phone (401) 943-4530

135 Dodge St
Providence, RI 02907
Phone (401) 383-5150

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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

Sources for this page

Verify at the official NPI Registry.