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CHARNELLE ROSE DNP, APRN-C, WHNP-BC
NPI 1356853295
Nurse Practitioner - Women's Health in Oklahoma City, OK

Active since November 01, 2017Opted out of Medicare · through Jan 1, 2027
4117 NW 122ND STREET, STE 1, INSIDE BROW & SKIN CO, OKLAHOMA CITY, OK 73120(405) 963-2528(405) 337-9611 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 29, 2026, Nov 13, 2024, Nov 3, 2022 and 5 more (8 updates tracked since 2017).

About Charnelle Rose Dnp, Aprn-c, Whnp-bc NPPES

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

CHARNELLE ROSE DNP, APRN-C, WHNP-BC (NPI 1356853295) is an individual women's health provider in Oklahoma City, Oklahoma, licensed in Oklahoma (R0103958) and active in the NPI registry since November 2017. She has opted out of Medicare through January 1, 2027.

NPPES Registry Identity

NPI1356853295
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameCHARNELLE ROSECredential: DNP, APRN-C, WHNP-BC
Location Address4117 NW 122ND STREET, STE 1, INSIDE BROW & SKIN COOklahoma City, OK 73120
Mailing Address4117 Nw 122nd Street, Ste 1, Inside Brow & Skin CoOklahoma City, OK 73120 · (405) 963-2528 · Fax (405) 337-9611
Phone(405) 963-2528
Fax(405) 337-9611
Sole ProprietorNo
Enumeration DateNovember 1, 2017
Last NPPES UpdateApril 29, 20268 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1356853295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in OK · R0103958
4117 NW 122ND STREET, STE 1, Oklahoma City, OK 73120
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Charnelle Rose Dnp, Aprn-c, Whnp-bc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2023 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2023
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions

What is Charnelle Rose's NPI number?

The NPI number assigned to this healthcare provider is 1356853295, enumerated as an "individual" on November 01, 2017.

Where is the provider located?

The provider is located at 4117 NW 122ND STREET, STE 1 INSIDE BROW & SKIN CO OKLAHOMA CITY, OK 73120 and the phone number is (405) 963-2528.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LW0102X and a focus in Women's Health.