CHARMIANNE CRONK PA-C
NPI 1174574347
Physician Assistant in Albuquerque, NM

Active since May 13, 2006PECOS EnrolledAccepts Medicare Assignment
3821 MASTHEAD ST NE, ALBUQUERQUE, NM 87109(505) 998-7400(505) 998-7741 Get Directions Write a Review

NPPES record last updated: August 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 29, 2020, May 24, 2018 (2 updates tracked since 2018).

About Charmianne Cronk Pa-c NPPES

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

CHARMIANNE CRONK PA-C (NPI 1174574347) is an individual physician assistant in Albuquerque, New Mexico, licensed in New Mexico (PA2004-0031) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1174574347
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCHARMIANNE CRONKCredential: PA-C
Location Address3821 MASTHEAD ST NEAlbuquerque, NM 87109-4679
Mailing Address3821 Masthead St NeAlbuquerque, NM 87109-4679 · (505) 998-7400 · Fax (505) 998-7741
Fax(505) 998-7741
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 13, 2006
Last NPPES UpdateAugust 29, 20202 updates tracked since enumeration
NPPES CertifiedAugust 29, 2020
NPI 1174574347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NM · PA2004-0031
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3821 MASTHEAD ST NE, Albuquerque, NM 87109

Other Identifiers 1

Medicaid12075272NM

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Charmianne Cronk Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901862135
PECOS Enrollment IDI20041208000962
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 87109 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
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.

Internal Medicine (Nephrology)
3821 MASTHEAD ST NE
ALBUQUERQUE, NM 87109
Nurse Practitioner (Adult Health)
3821 MASTHEAD ST NE
ALBUQUERQUE, NM 87109
Nurse Practitioner (Gerontology)
3821 MASTHEAD ST NE
ALBUQUERQUE, NM 87109
Nurse Practitioner
3821 MASTHEAD ST NE
ALBUQUERQUE, NM 87109
Physician Assistant
3821 MASTHEAD ST NE
ALBUQUERQUE, NM 87109
Nurse Practitioner (Acute Care)
3821 MASTHEAD ST NE
ALBUQUERQUE, NM 87109
Nurse Practitioner (Adult Health)
3821 MASTHEAD ST NE
ALBUQUERQUE, NM 87109
Internal Medicine (Nephrology)
3821 MASTHEAD ST NE
ALBUQUERQUE, NM 87109

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 Charmianne Cronk's NPI number?

The NPI number for Charmianne Cronk is 1174574347. It was assigned to this individual provider in the NPPES registry on May 13, 2006.

Where is Charmianne Cronk located?

Charmianne Cronk practices at 3821 Masthead St NE, Albuquerque, NM 87109. The listed phone number is (505) 998-7400.

What is Charmianne Cronk's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Charmianne Cronk enrolled in Medicare?

Yes. Charmianne Cronk is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Charmianne Cronk was last updated on August 29, 2020. 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.