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CHARLYN K WARE MS RD LDN
NPI 1174934269
Dietitian, Registered in Springfield, IL

Active since May 12, 2014
751 N RUTLEDGE ST STE 1100, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-4735 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Charlyn K Ware Ms Rd Ldn NPPES

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

CHARLYN K WARE MS RD LDN (NPI 1174934269) is an individual dietitian, registered in Springfield, Illinois, licensed in Illinois (164.001664) and active in the NPI registry since May 2014. She maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1174934269
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameCHARLYN K WARECredential: MS RD LDN
Location Address751 N RUTLEDGE ST STE 1100Springfield, IL 62702-4968
Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (217) 545-8000 · Fax (844) 470-2486
Phone(217) 545-8000
Fax(217) 545-4735
Sole ProprietorYes
Enumeration DateMay 12, 2014
Last NPPES UpdateJanuary 17, 2024
NPPES CertifiedJanuary 17, 2024
✔ NPI 1174934269 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 IL · 164.001664
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.
751 N RUTLEDGE ST STE 1100, Springfield, IL 62702
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Other Names 1

Former Name (1)Charlyn K Fargo

Secondary Practice Location 1

Location 12115 S MacArthur BlvdSpringfield, IL 62704-4501 · Phone (217) 726-1001

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charlyn K Ware Ms Rd Ldn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Charlyn Ware reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Siu Physicians & Surgeons, Inc
0.3 mi
Endocrinology, Diabetes & Metabolism
201 E MADISON ST STE 328
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 645 clinicians in this Medicare group
NPI 1558385989 (217) 545-8000
Board Of Trustees Of Southern Illinois University
0.8 mi
Primary Care
520 N 4TH ST
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 262 clinicians in this Medicare group
NPI 1396097960 (217) 757-8100

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 20

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

ANAND PATEL PHARMD
Pharmacist (Ambulatory Care)
751 N RUTLEDGE ST STE 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
NITIN SAINI MD
Internal Medicine
751 N RUTLEDGE ST STE 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
ABDUL MONEM SWIED MD
Internal Medicine (Gastroenterology)
751 N RUTLEDGE ST STE 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
ELIZABETH TATUM MD
Internal Medicine
751 N RUTLEDGE ST STE 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
STACY RENEE LEE LCSW
Social Worker (Clinical)
751 N RUTLEDGE ST STE 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. ZAFAR QUADER M.D.
Internal Medicine (Gastroenterology)
751 N RUTLEDGE ST STE 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DELANEY MARGUERITE WOLF RAWSON MD
Internal Medicine
751 N RUTLEDGE ST STE 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. MULHAM ALOM MD
Internal Medicine
751 N RUTLEDGE ST STE 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000

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 Charlyn Ware's NPI number?

The NPI number for Charlyn Ware is 1174934269. It was assigned to this individual provider in the NPPES registry on May 12, 2014. The provider is also known as Charlyn K Fargo.

Where is Charlyn Ware located?

Charlyn Ware practices at 751 N Rutledge St Ste 1100, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Charlyn Ware's specialty?

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

Is Charlyn Ware enrolled in Medicare?

Yes. Charlyn Ware is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Charlyn Ware's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charlyn Ware reassigns Medicare benefits to 2 organizations: Siu Physicians & Surgeons, Inc (Springfield, IL) and Board Of Trustees Of Southern Illinois University (Springfield, IL). Each 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 Charlyn Ware'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 Charlyn Ware was last updated on January 17, 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.