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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: October 18, 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 and is a graduate of Other (2025).

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
Medical School CMSOtherGraduated 2025
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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Charles Edward Poole Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799240446
PECOS Enrollment IDI20260722004777
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 Charles Poole reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Peace Of Mind, LLC
Same address
Psychiatric/Mental Health
31300 NORTHWESTERN HWY STE A
Farmington Hills, MI 48334
  • Reassigned Medicare billing, Michigan enrollment
  • 5 clinicians in this Medicare group
NPI 1619595832 (248) 254-3318

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 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.

Other Providers at the Same Location NPPES

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

ASHLEIGH SPARKS
Student in an Organized Health Care Education/Training Program
31300 NORTHWESTERN HWY
FARMINGTON HILLS, MI 48334
Oakland County (248) 254-3318

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.

Which organization bills Medicare for Charles Poole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Poole reassigns Medicare benefits to Peace Of Mind, LLC (Farmington Hills, MI). 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 Charles Poole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Poole accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Charles Poole 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 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 13 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.