CHARLENE WALTON WINDHAM
NPI 1518336080
Nurse Practitioner - Gerontology in Southfield, MI
About Charlene Walton Windham NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLENE WALTON WINDHAM (NPI 1518336080) is an individual gerontology provider in Southfield, Michigan, licensed in Michigan (4704210421) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Charlene Walton Windham 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.
Medicare Billing Reassignments
5Medicare enrollment records show Charlene Walton Windham reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Southfield, MI 48075
- Reassigned Medicare billing, Michigan enrollment
- 16 clinicians in this Medicare group
Detroit, MI 48207
- Reassigned Medicare billing, Michigan enrollment
- 2 clinicians in this Medicare group
Novi, MI 48375
- Reassigned Medicare billing, Michigan enrollment
- 169 clinicians in this Medicare group
Novi, MI 48375
- Reassigned Medicare billing, Michigan enrollment
- 383 clinicians in this Medicare group
Oak Brook, IL 60523
- Reassigned Medicare billing, Michigan enrollment
- 40 clinicians in this Medicare group
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 48075 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SOUTHFIELD, MI 48075
SOUTHFIELD, MI 48075
SOUTHFIELD, MI 48075
SOUTHFIELD, MI 48075
SOUTHFIELD, MI 48075
SOUTHFIELD, MI 48075
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 Walton Windham's NPI number?
The NPI number for Charlene Walton Windham is 1518336080. It was assigned to this individual provider in the NPPES registry on September 15, 2015.
Where is Charlene Walton Windham located?
Charlene Walton Windham practices at 17515 W 9 Mile Rd 375, Southfield, MI 48075. The listed phone number is (248) 559-0950.
What is Charlene Walton Windham's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Charlene Walton Windham enrolled in Medicare?
Yes. Charlene Walton Windham 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 Charlene Walton Windham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charlene Walton Windham reassigns Medicare benefits to 5 organizations: Laz Medical Group PC (Southfield, MI), Detroit Area Agency On Aging (Detroit, MI), Complexcare Medical Group Midwest H PLLC (Novi, MI), Theoria Medical (Novi, MI) and Applebaum Physiatry PLLC (Oak Brook, IL). 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 Charlene Walton Windham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charlene Walton Windham accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Charlene Walton Windham 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 Charlene Walton Windham was last updated on September 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Charlene Walton Windham · NPI 1518336080
Gerontology physician in Southfield, Michigan. Individual provider, active in the CMS NPPES registry since September 15, 2015.
## Identity
- **NPI:** 1518336080 (Entity type: Individual)
- **Enumerated:** September 15, 2015
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 4704210421 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 17515 W 9 MILE RD, 375, Southfield, MI 48075-4403
- **Phone:** (248) 559-0950
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Laz Medical Group PC (NPI 1053310128, Southfield, MI); Detroit Area Agency On Aging (NPI 1104997121, Detroit, MI); Complexcare Medical Group Midwest H PLLC (NPI 1457144933, Novi, MI); Theoria Medical (NPI 1609362375, Novi, MI); Applebaum Physiatry PLLC (NPI 1700598059, Oak Brook, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** September 15, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1518336080) · Data from the CMS NPPES public registry.