MRS. CHARLEEN THERESE HOLDER
NPI 1528310505
Nurse Practitioner - Family in Cambria Heights, NY
About Mrs. Charleen Therese Holder NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CHARLEEN THERESE HOLDER (NPI 1528310505) is an individual family provider in Cambria Heights, New York, licensed in New York (F351140) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Mrs. Charleen Therese Holder 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
4Medicare enrollment records show Charleen Holder reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jamaica, NY 11423
- Reassigned Medicare billing, New York enrollment
- 1,393 clinicians in this Medicare group
Bronx, NY 10461
- Reassigned Medicare billing, New York enrollment
- 1,054 clinicians in this Medicare group
Bronx, NY 10461
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Bronx Medical Practice PC
- 1,013 clinicians in this Medicare group
Bronx, NY 10452
- Reassigned Medicare billing, New York enrollment
- 683 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 11411 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Charleen Holder's NPI number?
The NPI number for Charleen Holder is 1528310505. It was assigned to this individual provider in the NPPES registry on October 15, 2012.
Where is Charleen Holder located?
Charleen Holder practices at 11520 217th St Cambria Heights, Cambria Heights, NY 11411. The listed phone number is (347) 420-4109.
What is Charleen Holder's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Charleen Holder enrolled in Medicare?
Yes. Charleen Holder 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 Charleen Holder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charleen Holder reassigns Medicare benefits to 4 organizations: Essen Medical Associates,pc (Jamaica, NY), House Call Medical Services Of New York, PLLC (Bronx, NY), Bronx Medical Practice P.C. (Bronx, NY) and Essen Medical Urgicare, PLLC (Bronx, NY). 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 Charleen Holder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Charleen Holder was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Mrs. Charleen Therese Holder · NPI 1528310505
Family physician in Cambria Heights, New York. Individual provider, active in the CMS NPPES registry since October 15, 2012.
## Identity
- **NPI:** 1528310505 (Entity type: Individual)
- **Enumerated:** October 15, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F351140 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 11520 217TH ST, CAMBRIA HEIGHTS, Cambria Heights, NY 11411-1116
- **Phone:** (347) 420-4109
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Essen Medical Associates,pc (NPI 1700023926, Jamaica, NY); House Call Medical Services Of New York, PLLC (NPI 1851345946, Bronx, NY); Bronx Medical Practice P.C. (NPI 1356726087, Bronx, NY); Essen Medical Urgicare, PLLC (NPI 1841607298, Bronx, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 23, 2025
- **Other identifiers:** Other 664418 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1528310505) · Data from the CMS NPPES public registry.