MRS. MARIE FAYETTE CHARLES CRNP-FNP-PMHNP-BC
NPI 1376048348
Nurse Practitioner - Psychiatric/Mental Health in Waldorf, MD

Q: What is Marie Charles's NPI number?

The NPI number for Marie Charles is 1376048348. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Q: What is Marie Charles's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marie Charles was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 29, 2018PECOS EnrolledAccepts Medicare Assignment

3261 OLD WASHINGTON RD STE 2020, WALDORF, MD 20602(240) 419-2412(240) 366-5753 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2022, Oct 1, 2021, Sep 16, 2021 and 1 more (4 updates tracked since 2018).

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About Mrs. Marie Fayette Charles Crnp-fnp-pmhnp-bc NPPES

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

MRS. MARIE FAYETTE CHARLES CRNP-FNP-PMHNP-BC (NPI 1376048348) is an individual psychiatric/mental health provider in Waldorf, Maryland, licensed in Maryland (R221196) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1376048348

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. MARIE FAYETTE CHARLESCredential: CRNP-FNP-PMHNP-BC

Location Address3261 OLD WASHINGTON RD STE 2020Waldorf, MD 20602-3231

Mailing Address3261 Old Washington Rd Ste 2020Waldorf, MD 20602-3231 · (240) 419-2412 · Fax (240) 366-5753

Phone(240) 419-2412

Fax(240) 366-5753

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 29, 2018

Last NPPES UpdateJanuary 10, 20224 updates tracked since enumeration

NPPES CertifiedJanuary 10, 2022

✔ NPI 1376048348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in MD · R221196✔ Licensed in VA · 0024180406

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 0024180406 (VA), R221196 (MD)

3261 OLD WASHINGTON RD STE 2020, Waldorf, MD 20602

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Secondary Practice Locations 3

Location 14669 Falls RdBaltimore, MD 21209-4914 · Phone (800) 427-1902 · Fax (800) 564-5952

Location 22670 Crain Hwy Ste 510Waldorf, MD 20601-2819 · Phone (240) 416-6836 · Fax (240) 292-4170

Location 31554 Columbia PikeArlington, VA 22204-4667 · Phone (703) 649-8014 · Fax (703) 228-0028

Other Identifiers 2

Medicaid911012700MD

Medicaid601507691VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Marie Fayette Charles Crnp-fnp-pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698030252

PECOS Enrollment IDI20240923002127

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 20602 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

$89.75 typical visit price

range $57.99 – $175.57

Typical copayment $22.43 (range $14.49 – $43.89)

Most-billed visit code 99203

Established Patient

$102.11 typical visit price

range $18.66 – $143.02

Typical copayment $25.52 (range $4.66 – $35.75)

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.

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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.

PRIMAL HEALTH FAMILY PRACTICE

Nurse Practitioner (Family)