CHARLIE IMONAH FNP
NPI 1659770642
Nurse Practitioner - Family in Pawtucket, RI

Q: What is Charlie Imonah's NPI number?

The NPI number for Charlie Imonah is 1659770642. It was assigned to this individual provider in the NPPES registry on August 15, 2014.

Q: What is Charlie Imonah's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Charlie Imonah was last updated on December 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since August 15, 2014PECOS EnrolledAccepts Medicare Assignment

39 EAST AVE, PAWTUCKET, RI 02860(401) 722-0081(401) 312-0318 Get Directions Write a Review

NPPES record last updated: December 6, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Charlie Imonah Fnp NPPES

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

CHARLIE IMONAH FNP (NPI 1659770642) is an individual family provider in Pawtucket, Rhode Island, licensed in Rhode Island (NPP37898) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1659770642

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameCHARLIE IMONAHCredential: FNP

Location Address39 EAST AVEPawtucket, RI 02860-4003

Mailing Address39 East AvePawtucket, RI 02860-4003

Phone(401) 722-0081

Fax(401) 312-0318

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateAugust 15, 2014

Last NPPES UpdateDecember 6, 2014

✔ NPI 1659770642 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 RI · NPP37898

39 EAST AVE, Pawtucket, RI 02860

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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

Charlie Imonah Fnp 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 ID3577884683

PECOS Enrollment IDI20150602000145

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

24 services21 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

22 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02860 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers11 claims26 services$5.30 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

PRISCILLA K CUNHA RN

Registered Nurse (Case Management)

39 EAST AVE
PAWTUCKET, RI 02860

Providence County (401) 312-0502

CARDINAL HEALTH 132, LLC

Pharmacy (Community/Retail Pharmacy)

39 EAST AVE, SUITE 100
PAWTUCKET, RI 02860

Providence County (401) 642-2093

BLACKSTONE VALLEY COMMUNITY HEALTH CARE, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))

39 EAST AVE
PAWTUCKET, RI 02860

Providence County (401) 312-9892

KELSEY OKOLOWITCZ MA, LMHC

Counselor (Mental Health)

39 EAST AVE
PAWTUCKET, RI 02860

Providence County (401) 312-9843

RODOLFO M GALINATTI PA-C

Physician Assistant (Medical)

39 EAST AVE
PAWTUCKET, RI 02860

Providence County (401) 729-0080

NICOLE SNAPPER

Nurse Practitioner (Family)

39 EAST AVE
PAWTUCKET, RI 02860

Providence County (401) 722-0081

PHILOMENE FORTES

Nurse Practitioner (Family)

39 EAST AVE
PAWTUCKET, RI 02860

Providence County (401) 722-0081

MS. ANNE BARYLICK FNP-BC

Nurse Practitioner (Family)

39 EAST AVE
PAWTUCKET, RI 02860

Providence County (401) 722-0081

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 Charlie Imonah's NPI number?

The NPI number for Charlie Imonah is 1659770642. It was assigned to this individual provider in the NPPES registry on August 15, 2014.

Where is Charlie Imonah located?

Charlie Imonah practices at 39 East Ave, Pawtucket, RI 02860. The listed phone number is (401) 722-0081.

What is Charlie Imonah's specialty?

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

Is Charlie Imonah enrolled in Medicare?

Yes. Charlie Imonah 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.

Is Charlie Imonah affiliated with any hospitals?

According to CMS data, Charlie Imonah is affiliated with The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Charlie Imonah was last updated on December 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.