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MS. SUSAN CHARLES FNP
NPI 1124887906
Nurse Practitioner - Family in Ridgewood, NJ

Active since March 15, 2024PECOS Enrolled
327 GOFFLE RD, RIDGEWOOD, NJ 07450(201) 926-2247 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Susan Charles Fnp NPPES

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

MS. SUSAN CHARLES FNP (NPI 1124887906) is an individual family provider in Ridgewood, New Jersey, licensed in New Jersey (26NJ00620100) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124887906
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. SUSAN CHARLESCredential: FNP
Location Address327 GOFFLE RDRidgewood, NJ 07450-4033
Mailing Address327 Goffle RdRidgewood, NJ 07450-4033 · (201) 926-2247
Phone(201) 926-2247
Sole ProprietorYes
Enumeration DateMarch 15, 2024
NPPES CertifiedMarch 15, 2024
✔ NPI 1124887906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ00620100
327 GOFFLE RD, Ridgewood, NJ 07450
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Susan Charles Fnp 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 Susan Charles reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bergen County Improvement Authority
4.8 mi
Internal Medicine
230 E RIDGEWOOD AVE
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 120 clinicians in this Medicare group
NPI 1891836441 (201) 967-4000

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 07450 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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 Susan Charles's NPI number?

The NPI number for Susan Charles is 1124887906. It was assigned to this individual provider in the NPPES registry on March 15, 2024.

Where is Susan Charles located?

Susan Charles practices at 327 Goffle Rd, Ridgewood, NJ 07450. The listed phone number is (201) 926-2247.

What is Susan Charles's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Susan Charles enrolled in Medicare?

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

Which organization bills Medicare for Susan Charles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Charles reassigns Medicare benefits to Bergen County Improvement Authority (Paramus, NJ). 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 Susan Charles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Susan Charles was last updated on March 15, 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.