Individual provider Active NPI

Berline Charles Duc, FNP

  • Family Nurse Practitioner
  • Wallkill, NY
National Provider Identifier
1861298887
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
355363 Issued in NY
Practice address
800 Red Mills Rd
Wallkill, NY 12589-3220
Phone
(239) 503-9370
NPI assigned
Feb 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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 355363 NY Primary

Addresses

Primary practice location

800 Red Mills Rd
Wallkill, NY 12589-3220

Mailing address

800 Red Mills Rd
Wallkill, NY 12589-3220
Phone (239) 503-9370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250924003225 NY Practitioner - Nurse Practitioner 7113422866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cogent Medical Care PCGroup PAC ID 7315836780, 152 clinicians

Practice addresses (Care Compare)

101 Hospital Rd
Patchogue, NY 11772-4870
Phone (631) 687-4131

160 N Midland Ave
Nyack, NY 10960-1912
Phone (845) 348-2000

Hospital & facility affiliations

  • Nyack Hospital Hospital, Nyack, NY, CCN 330104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
355363NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Medical Care PC Family Medicine CurrentSince Jul 6, 2025 Accepting new patients

Locations

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1861298887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 RED MILLS RD",
            "city": "WALLKILL",
            "state": "NY",
            "postal_code": "125893220",
            "telephone_number": "239-503-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 RED MILLS RD",
            "city": "WALLKILL",
            "state": "NY",
            "postal_code": "125893220",
            "telephone_number": "239-503-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES DUC",
        "first_name": "BERLINE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-20",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "355363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallkill, NY

Sources for this page

Verify at the official NPI Registry.