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JENNIFER N. CHARLES
NPI 1205205424
Nurse Practitioner in Green Bay, WI

Active since September 17, 2015PECOS Enrolled
2793 LINEVILLE RD, GREEN BAY, WI 54313(920) 496-4700 Get Directions Write a Review

NPPES record last updated: October 14, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jennifer N. Charles NPPES

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

JENNIFER N. CHARLES (NPI 1205205424) is an individual nurse practitioner in Green Bay, Wisconsin, licensed in Wisconsin (6649-33) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205205424
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJENNIFER N. CHARLES
Location Address2793 LINEVILLE RDGreen Bay, WI 54313-7152
Mailing Address2793 Lineville RdGreen Bay, WI 54313-7152 · (920) 496-4700
Phone(920) 496-4700
Sole ProprietorNo
Enumeration DateSeptember 17, 2015
Last NPPES UpdateOctober 14, 2015
✔ NPI 1205205424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 6649-33
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 168869 (WI)
2793 LINEVILLE RD, Green Bay, WI 54313
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer N. Charles 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 Reassignments

3

Medicare enrollment records show Jennifer Charles reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Vincent Hospital-Hospital Sisters-Third Order Of St Francis
7.6 mi
General Practice
2710 EXECUTIVE DR
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 742 clinicians in this Medicare group
NPI 1285613638 (920) 433-8287
Prevea Clinic, Inc.
7.6 mi
Internal Medicine
2710 EXECUTIVE DR
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 190 clinicians in this Medicare group
NPI 1306869276 (920) 496-4700
St. Nicholas Hospital-Sisters Of The Third Order Of St Francis
59 mi
Internal Medicine
3113 SAEMANN AVE
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 673 clinicians in this Medicare group
NPI 1275799413 (920) 496-4700

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 54313 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

APRIL KATHLEEN SWIM OD
Optometrist
2793 LINEVILLE RD
GREEN BAY, WI 54313
Brown County (920) 496-4700
MARIRUTH NEFF FNP
Nurse Practitioner (Family)
2793 LINEVILLE RD
GREEN BAY, WI 54313
Brown County (920) 496-4700
KRISTINA ANN HOUN MD
Pediatrics
2793 LINEVILLE RD
GREEN BAY, WI 54313
Brown County (920) 496-4700
JOHN DAVID WISE PA
Physician Assistant
2793 LINEVILLE RD
GREEN BAY, WI 54313
Brown County (920) 496-4700
JOSEPH FRANCIS ALBERS DPM
Podiatrist (Foot & Ankle Surgery)
2793 LINEVILLE RD
GREEN BAY, WI 54313
Brown County (920) 496-4700
DR. JOSHUA D RANKIN M.D.
Pediatrics
2793 LINEVILLE RD
GREEN BAY, WI 54313
Brown County (920) 496-4700
SARA M DEGRAND APNP
Nurse Practitioner (Family)
2793 LINEVILLE RD
GREEN BAY, WI 54313
Brown County (920) 496-4700
BRADLEY J PAUS DO
Pediatrics
2793 LINEVILLE RD
GREEN BAY, WI 54313
Brown County (920) 496-4700

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 Jennifer Charles's NPI number?

The NPI number for Jennifer Charles is 1205205424. It was assigned to this individual provider in the NPPES registry on September 17, 2015.

Where is Jennifer Charles located?

Jennifer Charles practices at 2793 Lineville Rd, Green Bay, WI 54313. The listed phone number is (920) 496-4700.

What is Jennifer Charles's specialty?

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

Is Jennifer Charles enrolled in Medicare?

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

Which organizations bill Medicare for Jennifer Charles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Charles reassigns Medicare benefits to 3 organizations: St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (Green Bay, WI), Prevea Clinic, Inc. (Green Bay, WI) and St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (Sheboygan, WI). 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 Jennifer Charles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Charles accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Jennifer Charles 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 Jennifer Charles was last updated on October 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.