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, and ordering and referring status from the CMS PECOS system.
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.
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.
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 11 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
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 23, 2025
- **Other identifiers:** Other 664418 (NY)
---
Source: [NPI Profile](https://npiprofile.com/npi/1528310505) · Data from the CMS NPPES public registry.