MRS. KETANIA MARIE CHARLES
NPI 1528897022
Nurse Practitioner - Family in Hartford, CT

Active since July 31, 2024PECOS EnrolledAccepts Medicare Assignment
500 ALBANY AVE, HARTFORD, CT 06120(860) 249-9625 Get Directions Write a Review

NPPES record last updated: October 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Ketania Marie Charles NPPES

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

MRS. KETANIA MARIE CHARLES (NPI 1528897022) is an individual family provider in Hartford, Connecticut, licensed in Connecticut (13544) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1528897022
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KETANIA MARIE CHARLES
Location Address500 ALBANY AVEHartford, CT 06120-2508
Mailing Address48 Collier CirHamden, CT 06518-2002 · (347) 822-7285
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 31, 2024
Last NPPES UpdateOctober 20, 2024
NPPES CertifiedOctober 20, 2024
NPI 1528897022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CT · 13544
500 ALBANY AVE, Hartford, CT 06120

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. Ketania Marie Charles 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.

PECOS PAC ID2163950601
PECOS Enrollment IDI20250110001840
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 06120 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Registered Nurse
500 ALBANY AVE
HARTFORD, CT 06120
Social Worker
500 ALBANY AVE
HARTFORD, CT 06120
Psychiatry & Neurology (Psychiatry)
500 ALBANY AVE
HARTFORD, CT 06120
Social Worker (Clinical)
500 ALBANY AVE
HARTFORD, CT 06120
Licensed Practical Nurse
500 ALBANY AVE
HARTFORD, CT 06120
Pediatrics
500 ALBANY AVE
HARTFORD, CT 06120
Social Worker (Clinical)
500 ALBANY AVE
HARTFORD, CT 06120
Social Worker
500 ALBANY AVE
HARTFORD, CT 06120

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 Ketania Charles's NPI number?

The NPI number for Ketania Charles is 1528897022. It was assigned to this individual provider in the NPPES registry on July 31, 2024.

Where is Ketania Charles located?

Ketania Charles practices at 500 Albany Ave, Hartford, CT 06120. The listed phone number is (860) 249-9625.

What is Ketania Charles's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ketania Charles enrolled in Medicare?

Yes. Ketania Charles 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 Ketania Charles was last updated on October 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.