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MR. CHARLES EDWARD POOLE PMHNP
NPI 1205714979
Nurse Practitioner - Psychiatric/Mental Health in Farmington Hills, MI

Active since August 21, 2025PECOS Enrolled
31300 NORTHWESTERN HWY, FARMINGTON HILLS, MI 48334(248) 254-3318 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mr. Charles Edward Poole Pmhnp NPPES

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

MR. CHARLES EDWARD POOLE PMHNP (NPI 1205714979) is an individual psychiatric/mental health provider in Farmington Hills, Michigan, licensed in Michigan (4704268830) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205714979
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. CHARLES EDWARD POOLECredential: PMHNP
Location Address31300 NORTHWESTERN HWYFarmington Hills, MI 48334-5407
Mailing Address43000 12 Oaks Crescent DrNovi, MI 48377-3404 · (734) 233-7227
Phone(248) 254-3318
Sole ProprietorNo
Enumeration DateAugust 21, 2025
NPPES CertifiedAugust 21, 2025
✔ NPI 1205714979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MI · 4704268830
31300 NORTHWESTERN HWY, Farmington Hills, MI 48334
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Charles Edward Poole Pmhnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48334 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 Charles Poole's NPI number?

The NPI number for Charles Poole is 1205714979. It was assigned to this individual provider in the NPPES registry on August 21, 2025.

Where is Charles Poole located?

Charles Poole practices at 31300 Northwestern Hwy, Farmington Hills, MI 48334. The listed phone number is (248) 254-3318.

What is Charles Poole's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Charles Poole enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Charles Poole was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.