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DR. CHARLENE ALTAGRACIA FERMIN MD
NPI 1477355501
Student in an Organized Health Care Education/Training Program in Bridgeport, CT

Active since March 27, 2025PECOS Enrolled
267 GRANT ST, MED ED PODIUM 4, BRIDGEPORT, CT 06610(203) 384-4442 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 27, 2026, Mar 27, 2025 (2 updates tracked since 2025).

About Dr. Charlene Altagracia Fermin Md NPPES

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

DR. CHARLENE ALTAGRACIA FERMIN MD (NPI 1477355501) is an individual student in an organized health care education/training program in Bridgeport, Connecticut and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477355501
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. CHARLENE ALTAGRACIA FERMINCredential: MD
Location Address267 GRANT ST, MED ED PODIUM 4Bridgeport, CT 06610-0120
Mailing Address267 Grant St, Med Ed Podium 4Bridgeport, CT 06610-0120 · (203) 384-4442
Phone(203) 384-4442
Sole ProprietorYes
Enumeration DateMarch 27, 2025
Last NPPES UpdateMay 27, 20262 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
✔ NPI 1477355501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
267 GRANT ST, MED ED PODIUM 4, Bridgeport, CT 06610
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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)

Dr. Charlene Altagracia Fermin Md 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.

Other Providers at the Same Location NPPES 2

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

MEGHNA RAMASWAMY MD
Student in an Organized Health Care Education/Training Program
267 GRANT ST, MED ED PODIUM 4
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-4442
DR. BARBARA ODAC MD
Student in an Organized Health Care Education/Training Program
267 GRANT ST, MED ED PODIUM 4
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-4442

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 Charlene Fermin's NPI number?

The NPI number for Charlene Fermin is 1477355501. It was assigned to this individual provider in the NPPES registry on March 27, 2025.

Where is Charlene Fermin located?

Charlene Fermin practices at 267 Grant St, Med Ed Podium 4, Bridgeport, CT 06610. The listed phone number is (203) 384-4442.

What is Charlene Fermin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Charlene Fermin enrolled in Medicare?

Yes. Charlene Fermin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charlene Fermin was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.