SALLIE H CHARLES NP
NPI 1083744841
Nurse Practitioner in Boulder, CO

Q: What is Sallie Charles's NPI number?

The NPI number for Sallie Charles is 1083744841. It was assigned to this individual provider in the NPPES registry on March 7, 2007. The provider is also known as Sallie Ann Honora Charles.

Q: What is Sallie Charles's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sallie Charles was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 07, 2007PECOS Enrolled

580 MOHAWK DR, BOULDER, CO 80303(303) 338-4545 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 18, 2021, Apr 9, 2021, Jun 1, 2020 and 1 more (4 updates tracked since 2016).

On this page

About Sallie H Charles Np NPPES

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

SALLIE H CHARLES NP (NPI 1083744841) is an individual nurse practitioner in Boulder, Colorado, licensed in Colorado (4399) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083744841

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSALLIE H CHARLESCredential: NP

Location Address580 MOHAWK DRBoulder, CO 80303-3712

Mailing Address10350 E Dakota AveDenver, CO 80247-1314 · (303) 338-4545

Phone(303) 338-4545

Sole ProprietorNo

Enumeration DateMarch 7, 2007

Last NPPES UpdateMay 18, 20214 updates tracked since enumeration

NPPES CertifiedMay 18, 2021

✔ NPI 1083744841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in CO · 4399✔ Licensed in CO · 63790

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.

580 MOHAWK DR, Boulder, CO 80303

Open in Google Maps ↗

Other Names 1

Other Name (5)Sallie Ann Honora Charles

Other Identifiers 2

Medicaid45000239CO

Other015915Kaiser-commercial Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sallie H Charles Np 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.

Medicare Billing Reassignment

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

Colorado Permanente Medical Group, P.C.

28 mi

Internal Medicine

10350 E DAKOTA AVE
Denver, CO 80247

Reassigned Medicare billing, Colorado enrollment
Medicare enrollment name: Colorado Permanente Medical Group PC
1,715 clinicians in this Medicare group

NPI 1760599724 (303) 338-4545

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80303 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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 20

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

CHRISTINE D RINGDAHL PT

Physical Therapist