Active NPI
Charlotte C Waling, FNP
- Family Nurse Practitioner
- Crawfordsville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71007376A
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 71007376A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Professionals Community Health Center, Inc. | Current | Accepting new patients | |
| Valley Professionals Community Health Center, Inc. | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Valley Professionals Community Health Center Inc | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Clinton, IN
- NPI 1104006253
-
- Family Medicine Physician
- Hanover, IN
- NPI 1649770769
-
dba VPCHC-Clinton Dental
- Federally Qualified Health Center (FQHC)
- Clinton, IN
- NPI 1972312973
-
- Federally Qualified Health Center (FQHC)
- Cayuga, IN
- NPI 1417284043
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crawfordsville, IN
- NPI 1588774558
-
dba Franciscan Home Care
- Home Health Agency
- Lafayette, IN
- NPI 1619970134
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.