DR. SHENIKA DANIELLE WELCH-CHARLES M.D.
NPI 1437306131
Obstetrics & Gynecology in Fredericksburg, VA

Q: What is Shenika Welch-charles's NPI number?

The NPI number for Shenika Welch-charles is 1437306131. It was assigned to this individual provider in the NPPES registry on August 25, 2008.

Q: What is Shenika Welch-charles's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since August 25, 2008PECOS EnrolledAccepts Medicare Assignment

95.69/100

CMS Quality Rating

1300 HOSPITAL DR, SUITE 300, FREDERICKSBURG, VA 22401(540) 656-2830(540) 656-2856 Get Directions Write a Review

NPPES record last updated: May 14, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Shenika Danielle Welch-charles M.d. NPPES

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

DR. SHENIKA DANIELLE WELCH-CHARLES M.D. (NPI 1437306131) is an individual obstetrics & gynecology provider in Fredericksburg, Virginia, licensed in Virginia (0101250107) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, is affiliated with University Health System, Inc, and is a graduate of Meharry Medical College School Of Medicine (2007).

NPPES Registry Identity

NPI1437306131

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. SHENIKA DANIELLE WELCH-CHARLESCredential: M.D.

Location Address1300 HOSPITAL DR, SUITE 300Fredericksburg, VA 22401-8451

Mailing Address1300 Hospital Dr, Suite 300Fredericksburg, VA 22401-8451 · (540) 656-2830 · Fax (540) 656-2856

Phone(540) 656-2830

Fax(540) 656-2856

Sole ProprietorNo

Medical School CMSMeharry Medical College School Of MedicineGraduated 2007

Enumeration DateAugust 25, 2008

Last NPPES UpdateMay 14, 2012

✔ NPI 1437306131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in VA · 0101250107

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1300 HOSPITAL DR, Fredericksburg, VA 22401

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shenika Danielle Welch-charles M.d. 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 ID2264688134

PECOS Enrollment IDI20160104000425

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

Medicare enrollment records show Shenika Welch-charles reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Health System, Inc

364 mi

Internal Medicine

1413 RUSSELL AVE
Jefferson City, TN 37760

Reassigned Medicare billing, Tennessee enrollment
832 clinicians in this Medicare group

NPI 1083923197 (865) 670-6199

University Of Tennessee

392 mi

Multi-Specialty

1928 ALCOA HWY, BUILDING B, SUITE 127
Knoxville, TN 37920

Reassigned Medicare billing, Tennessee enrollment
95 clinicians in this Medicare group

NPI 1295751386 (865) 544-8787

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Health System, Inc

Acute Care Hospitals · Knoxville, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440015

Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22401 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.69/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.28

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 7

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

MS. MAYA BRYER PA-C

Physician Assistant

1300 HOSPITAL DR
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 741-2955

DR. KATHLEEN MARIE CAUBLE M.D.

Obstetrics & Gynecology

1300 HOSPITAL DR, SUITE 302
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 654-8400

TAMMY J LEONARD MD

Obstetrics & Gynecology

1300 HOSPITAL DR, SUITE 300
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 373-4700

FREDERICKSBURG WOMEN'S HEALTH ASSOCIATES

Clinic/Center

1300 HOSPITAL DR, SUITE 300
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 656-2830

GENERATIONS OF WOMEN OBGYN PC

Obstetrics & Gynecology

1300 HOSPITAL DR, SUITE 302
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 654-8400

MR. SPENCER MICHAEL WOOD MS, CGC

Genetic Counselor, MS

1300 HOSPITAL DR, SUITE 200
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 741-1995

KAREN A HLYWA RN, OGNP

Obstetrics & Gynecology

1300 HOSPITAL DR, SUITE 300
FREDERICKSBURG, VA 22401

Fredericksburg City (540) 656-2830

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 Shenika Welch-charles's NPI number?

The NPI number for Shenika Welch-charles is 1437306131. It was assigned to this individual provider in the NPPES registry on August 25, 2008.

Where is Shenika Welch-charles located?

Shenika Welch-charles practices at 1300 Hospital Dr Suite 300, Fredericksburg, VA 22401. The listed phone number is (540) 656-2830.

What is Shenika Welch-charles's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Shenika Welch-charles enrolled in Medicare?

Yes. Shenika Welch-charles is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shenika Welch-charles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shenika Welch-charles reassigns Medicare benefits to 2 organizations: University Health System, Inc (Jefferson City, TN) and University Of Tennessee (Knoxville, TN). 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 Shenika Welch-charles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shenika Welch-charles accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Shenika Welch-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.

Is Shenika Welch-charles affiliated with any hospitals?

According to CMS data, Shenika Welch-charles is affiliated with University Health System, Inc.

When was this NPI record last updated?

The NPPES record for Shenika Welch-charles was last updated on May 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.