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CHARLES EDWARD FORTENBERRY R.N.
NPI 1023234648
Nurse Practitioner in Decatur, AL

Active since April 18, 2007PECOS Enrolled
1103 16TH AVE SE, DECATUR, AL 35601(256) 350-0362 Get Directions Write a Review

NPPES record last updated: October 22, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Edward Fortenberry R.n. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES EDWARD FORTENBERRY R.N. (NPI 1023234648) is an individual nurse practitioner in Decatur, Alabama, licensed in Alabama (1-049601) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023234648
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameCHARLES EDWARD FORTENBERRYCredential: R.N.
Location Address1103 16TH AVE SEDecatur, AL 35601-3595
Mailing Address1103 16th Ave SeDecatur, AL 35601-3595
Phone(256) 350-0362
Sole ProprietorNo
Enumeration DateApril 18, 2007
Last NPPES UpdateOctober 22, 2007
✔ NPI 1023234648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AL · 1-049601
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1103 16TH AVE SE, Decatur, AL 35601
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Other Identifiers 3

Other51006076AL · Blue Cross Blue Shield Al
Medicaid891017506AL
Medicare PIN051558868AL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Edward Fortenberry R.n. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. PHILLIP SHANNON FARRIS PA-C, MPAS.
Physician Assistant
1103 16TH AVE SE
DECATUR, AL 35601
Morgan County (256) 350-0362
RUSSELL L ELLIS MD
Physical Medicine & Rehabilitation (Sports Medicine)
1103 16TH AVE SE
DECATUR, AL 35601
Morgan County (256) 350-0362
JUSTIN L DAIGRE MD
Orthopaedic Surgery (Foot and Ankle Surgery)
1103 16TH AVE SE
DECATUR, AL 35601
Morgan County (256) 350-0362
MR. ERIC TODD SMITH OTC
Specialist/Technologist, Other (Orthopedic Assistant)
1103 16TH AVE SE
DECATUR, AL 35601
Morgan County (256) 355-0362
ROBERT A SPARKS III MD
Orthopaedic Surgery
1103 16TH AVE SE
DECATUR, AL 35601
Morgan County (256) 350-0362
EWIN B JENKINS M.D.
Orthopaedic Surgery
1103 16TH AVE SE
DECATUR, AL 35601
Morgan County (256) 350-0362
REBECCA STEPHENSON MCWHIRTER CRNP
Nurse Practitioner (Acute Care)
1103 16TH AVE SE
DECATUR, AL 35601
Morgan County (256) 350-0362
ROBERT STACY TAPSCOTT MD
Orthopaedic Surgery (Sports Medicine)
1103 16TH AVE SE
DECATUR, AL 35601
Morgan County (256) 350-0362

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Fortenberry's NPI number?

The NPI number for Charles Fortenberry is 1023234648. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Charles Fortenberry located?

Charles Fortenberry practices at 1103 16th Ave SE, Decatur, AL 35601. The listed phone number is (256) 350-0362.

What is Charles Fortenberry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Charles Fortenberry enrolled in Medicare?

Yes. Charles Fortenberry is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Fortenberry was last updated on October 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.