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CHARLENE MARIA CHAN RD
NPI 1083306674
Dietitian, Registered in Wilmington, NC

Active since May 23, 2023
1509 DOCTORS CIR, WILMINGTON, NC 28401(910) 662-7500 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 12, 2024, May 23, 2023 (2 updates tracked since 2023).

About Charlene Maria Chan Rd NPPES

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

CHARLENE MARIA CHAN RD (NPI 1083306674) is an individual dietitian, registered in Wilmington, North Carolina, licensed in North Carolina (L004739) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1083306674
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameCHARLENE MARIA CHANCredential: RD
Location Address1509 DOCTORS CIRWilmington, NC 28401-7403
Mailing Address2131 S 17th StWilmington, NC 28401-7407
Phone(910) 662-7500
Sole ProprietorNo
Enumeration DateMay 23, 2023
Last NPPES UpdateApril 12, 20242 updates tracked since enumeration
NPPES CertifiedApril 12, 2024
✔ NPI 1083306674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NC · L004739
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1509 DOCTORS CIR, Wilmington, NC 28401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charlene Maria Chan Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Charlene Chan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Novant Health Medical Group Coastal Region, LLC
Same address
Neurology
1509 DOCTORS CIR BLDG C
Wilmington, NC 28401
  • Reassigned Medicare billing, North Carolina enrollment
  • 710 clinicians in this Medicare group
NPI 1053997346 (910) 662-7500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 16

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

CAROLINA HEALTHCARE ASSOCIATES INC
Psychiatry & Neurology (Neurology)
1509 DOCTORS CIR, BLDG C
WILMINGTON, NC 28401
New Hanover County (910) 662-7500
ESTHER MURRAY PA
Physician Assistant
1509 DOCTORS CIR, BLDG C
WILMINGTON, NC 28401
New Hanover County (910) 662-7500
KARRIE ELIZABETH GREAR MD
Psychiatry & Neurology (Neurology)
1509 DOCTORS CIR, BLDG C
WILMINGTON, NC 28401
New Hanover County (910) 662-7500
WILLIAM BOLES MD
Psychiatry & Neurology (Neurology)
1509 DOCTORS CIR, BLDG C
WILMINGTON, NC 28401
New Hanover County (910) 662-7500
WILLIAM GORE PA
Physician Assistant
1509 DOCTORS CIR, BLDG C
WILMINGTON, NC 28401
New Hanover County (910) 662-7500
ASHLEY SPROUSE ROMMEL NP
Nurse Practitioner
1509 DOCTORS CIR, BLDG C
WILMINGTON, NC 28401
New Hanover County (910) 662-7500
CAROLINA HEALTHCARE ASSOCIATES INC
Internal Medicine
1509 DOCTORS CIR, BLDG C
WILMINGTON, NC 28401
New Hanover County (910) 662-7550
STEPHEN WALKER FNP
Nurse Practitioner
1509 DOCTORS CIR, BLDG C
WILMINGTON, NC 28401
New Hanover County (910) 662-7500

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 Charlene Chan's NPI number?

The NPI number for Charlene Chan is 1083306674. It was assigned to this individual provider in the NPPES registry on May 23, 2023.

Where is Charlene Chan located?

Charlene Chan practices at 1509 Doctors Cir, Wilmington, NC 28401. The listed phone number is (910) 662-7500.

What is Charlene Chan's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Charlene Chan enrolled in Medicare?

Yes. Charlene Chan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Charlene Chan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charlene Chan reassigns Medicare benefits to Novant Health Medical Group Coastal Region, LLC (Wilmington, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charlene Chan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charlene Chan accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 2 other insurers list Charlene Chan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charlene Chan was last updated on April 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.