CHARLENE WALTON WINDHAM
NPI 1518336080
Nurse Practitioner - Gerontology in Southfield, MI

Active since September 15, 2015PECOS Enrolled
17515 W 9 MILE RD, 375, SOUTHFIELD, MI 48075(248) 559-0950 Get Directions Write a Review

NPPES record last updated: September 15, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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.

NPPES Registry Identity

NPI1518336080
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameCHARLENE WALTON WINDHAM
Location Address17515 W 9 MILE RD, 375Southfield, MI 48075-4403
Mailing Address17515 W 9 Mile Rd, Ste. 375Southfield, MI 48075-4403
Sole ProprietorYes
Enumeration DateSeptember 15, 2015
NPI 1518336080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in MI · 4704210421
17515 W 9 MILE RD, Southfield, MI 48075

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Charlene Walton Windham 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.

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.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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.

Physical Medicine & Rehabilitation (Pain Medicine)
17515 W 9 MILE RD
SOUTHFIELD, MI 48075
Obstetrics & Gynecology (Maternal & Fetal Medicine)
17515 W 9 MILE RD, SUITE 500
SOUTHFIELD, MI 48075
Podiatrist (Primary Podiatric Medicine)
17515 W 9 MILE RD
SOUTHFIELD, MI 48075
Clinical Medical Laboratory
17515 W 9 MILE RD
SOUTHFIELD, MI 48075
Psychologist (Clinical)
17515 W 9 MILE RD, SUITE 975
SOUTHFIELD, MI 48075
Pharmacy (Community/Retail Pharmacy)
17515 W 9 MILE RD, SUITE 360
SOUTHFIELD, MI 48075
Non-emergency Medical Transport (VAN)
17515 W 9 MILE RD, SUITE 250
SOUTHFIELD, MI 48075
Home Health
17515 W 9 MILE RD, SUITE 130
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 enrollment system.

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 10 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.