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MRS. MARTHA G CHARLEY FNP
NPI 1609368919
Nurse Practitioner - Family in Sturbridge, MA

Active since June 01, 2018PECOS Enrolled
SOUTHBRIDGE PAIN CLINIC, 48 MAIN STREET SUITE 6, STURBRIDGE, MA 01566(508) 347-9111 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 21, 2019, Aug 21, 2018 (2 updates tracked since 2018).

About Mrs. Martha G Charley Fnp NPPES

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

MRS. MARTHA G CHARLEY FNP (NPI 1609368919) is an individual family provider in Sturbridge, Massachusetts, licensed in Massachusetts (RN213217) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dorchester, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1609368919
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MARTHA G CHARLEYCredential: FNP
Location AddressSOUTHBRIDGE PAIN CLINIC, 48 MAIN STREET SUITE 6Sturbridge, MA 01566
Mailing Address637 Washington StDorchester, MA 02124-3510 · (617) 825-9660 · Fax (617) 288-7898
Phone(508) 347-9111
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 1, 2018
Last NPPES UpdateDecember 28, 20232 updates tracked since enumeration
NPPES CertifiedDecember 28, 2023
✔ NPI 1609368919 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
Licenses✔ Licensed in MA · RN213217✔ Licensed in RI · APRN01800
SOUTHBRIDGE PAIN CLINIC, Sturbridge, MA 01566
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Secondary Practice Location 1

Location 1637 Washington StDorchester, MA 02124-3510 · Phone (617) 825-9660 · Fax (617) 288-7898

Other Identifiers 1

Medicaid110197544AMA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Martha G Charley Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961754940
PECOS Enrollment IDI20230414000811
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.

Medicare Billing Reassignment

Medicare enrollment records show Martha Charley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Trucare Inc
40 mi
Internal Medicine
725 RESERVOIR AVE STE 103
Cranston, RI 02910
  • Reassigned Medicare billing, Rhode Island enrollment
  • 17 clinicians in this Medicare group
NPI 1538659081 (401) 944-6889

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 01566 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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 Martha Charley's NPI number?

The NPI number for Martha Charley is 1609368919. It was assigned to this individual provider in the NPPES registry on June 1, 2018.

Where is Martha Charley located?

Martha Charley practices at Southbridge Pain Clinic 48 Main Street Suite 6, Sturbridge, MA 01566. The listed phone number is (508) 347-9111.

What is Martha Charley's specialty?

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

Is Martha Charley enrolled in Medicare?

Yes. Martha Charley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Martha Charley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Martha Charley reassigns Medicare benefits to Trucare Inc (Cranston, RI). The 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 Martha Charley'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 Martha Charley was last updated on December 28, 2023. 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.