MRS. KETANIA MARIE CHARLES
NPI 1528897022
Nurse Practitioner - Family in Hartford, CT
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
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
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.
Medicare Billing Reassignments
7Medicare enrollment records show Ketania Charles reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hartford, CT 06120
- Reassigned Medicare billing, Connecticut enrollment
- 53 clinicians in this Medicare group
Danielson, CT 06239
- Reassigned Medicare billing, Connecticut enrollment
- 390 clinicians in this Medicare group
Milford, CT 06460
- Reassigned Medicare billing, Connecticut enrollment
- 60 clinicians in this Medicare group
Stamford, CT 06902
- Reassigned Medicare billing, Connecticut enrollment
- Medicare enrollment name: Careconnectmd Connecticut P.C.
- 168 clinicians in this Medicare group
Framingham, MA 01702
- Reassigned Medicare billing, Connecticut enrollment
- 142 clinicians in this Medicare group
Lakewood, NJ 08701
- Reassigned Medicare billing, Connecticut enrollment
- 10 clinicians in this Medicare group
Columbia, MD 21046
- Reassigned Medicare billing, Connecticut enrollment
- 135 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 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.
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.
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.
Which organizations bill Medicare for Ketania Charles's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ketania Charles reassigns Medicare benefits to 7 organizations: Community Health Services, Inc. (Hartford, CT), Step Up Care PC LLC (Danielson, CT), Proactive Health Care Management,llc (Milford, CT), Careconnectmd Connecticut PC (Stamford, CT), Value Based Long Term Care H PC (Framingham, MA) and 2 more organizations, listed in the Medicare section above. 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 Ketania Charles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ketania Charles accept?
Health plans from Anthem Blue Cross and Blue Shield list Ketania Charles 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 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 2 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.
# Mrs. Ketania Marie Charles · NPI 1528897022
Family physician in Hartford, Connecticut. Individual provider, active in the CMS NPPES registry since July 31, 2024.
## Identity
- **NPI:** 1528897022 (Entity type: Individual)
- **Enumerated:** July 31, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 13544 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 500 ALBANY AVE, Hartford, CT 06120-2508
- **Phone:** (860) 249-9625
## 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:** 7 organizations under Medicare reassignment (form CMS-855R): Community Health Services, Inc. (NPI 1730284605, Hartford, CT); Step Up Care PC LLC (NPI 1154884740, Danielson, CT); Proactive Health Care Management,llc (NPI 1811641145, Milford, CT); Careconnectmd Connecticut PC (NPI 1467187336, Stamford, CT); Value Based Long Term Care H PC (NPI 1134951676, Framingham, MA); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 20, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1528897022) · Data from the CMS NPPES public registry.