Individual provider Active NPI

Charlotte C Waling, FNP

  • Family Nurse Practitioner
  • Crawfordsville, IN
National Provider Identifier
1831610740
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71007376A Issued in IN
Practice address
1702 Lafayette Rd
Crawfordsville, IN 47933-1033
Phone
(765) 362-5100
Fax
(765) 362-5171
NPI assigned
Jun 30, 2017
Last updated
Jul 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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 71007376A IN Primary

Addresses

Primary practice location

1702 Lafayette Rd
Crawfordsville, IN 47933-1033

Mailing address

1702 Lafayette Rd
Crawfordsville, IN 47933-1033
Phone (765) 362-5100

Other practice location 1

4152 W State Road 56
Hanover, IN 47243-9070
Phone (931) 253-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20170919002238 IN Practitioner - Nurse Practitioner 6901170695 Reassigns benefits to 2 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

Practice addresses (Care Compare)

1702 Lafayette Rd
Crawfordsville, IN 47933-1033
Phone (765) 625-5100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
71007376AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Professionals Community Health Center, Inc. CurrentSince Jun 5, 2023 Accepting new patients
Valley Professionals Community Health Center, Inc. Current Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 24, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 24, 2023 Accepting new patients
Valley Professionals Community Health Center Inc CurrentSince Jun 5, 2023 Accepting new patients

Locations

703 W Park St
Cayuga, IN 47928
Phone (765) 492-9042

777 S Main St
Ste 100
Clinton, IN 47842
Phone (765) 828-1003

1702 Lafayette Rd
Crawfordsvlle, IN 47933
Phone (765) 362-4400

4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510

727 N Lincoln Rd
Rockville, IN 47872
Phone (765) 569-1123

211 US Highway 66 E
Tell City, IN 47586
Phone (812) 722-4380

1530 N 7th St
Ste 201
Terre Haute, IN 47807
Phone (812) 238-7631

4757 S 7th St
Terre Haute, IN 47802
Phone (812) 234-2289

601 W National Ave
West Terre Haute, IN 47885
Phone (812) 244-1515

Organizations & group practices 5

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 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": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1831610740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 LAFAYETTE RD",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331033",
            "telephone_number": "765-362-5100",
            "fax_number": "765-362-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 LAFAYETTE RD",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479331033",
            "telephone_number": "765-362-5100",
            "fax_number": "765-362-5171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4152 W State Road 56",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "IN",
            "postal_code": "472439070",
            "country_code": "US",
            "telephone_number": "931-253-1110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALING",
        "first_name": "CHARLOTTE",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007376A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crawfordsville, IN

Sources for this page

Verify at the official NPI Registry.