NINA MARIE CHARBONNEAU FNP
NPI 1740021807
Nurse Practitioner - Family in Troy, NY

Q: What is Nina Charbonneau's NPI number?

The NPI number for Nina Charbonneau is 1740021807. It was assigned to this individual provider in the NPPES registry on June 3, 2024.

Q: What is Nina Charbonneau'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 Nina Charbonneau was last updated on December 26, 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.

Active since June 03, 2024PECOS Enrolled

2231 BURDETT AVE STE 160, TROY, NY 12180(518) 272-1333(518) 272-1331 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 26, 2024, Jun 3, 2024 (2 updates tracked since 2024).

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About Nina Marie Charbonneau Fnp NPPES

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

NINA MARIE CHARBONNEAU FNP (NPI 1740021807) is an individual family provider in Troy, New York, licensed in New York (354263) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1740021807

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNINA MARIE CHARBONNEAUCredential: FNP

Location Address2231 BURDETT AVE STE 160Troy, NY 12180-2453

Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634 · Fax (518) 649-4094

Phone(518) 272-1333

Fax(518) 272-1331

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJune 3, 2024

Last NPPES UpdateDecember 26, 20242 updates tracked since enumeration

NPPES CertifiedDecember 26, 2024

✔ NPI 1740021807 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 NY · 354263

2231 BURDETT AVE STE 160, Troy, NY 12180

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Secondary Practice Locations 5

Location 1588 New Loudon RdLatham, NY 12110-4057 · Phone (518) 785-2662

Location 21770 Central AveAlbany, NY 12205-4755 · Phone (518) 869-9692

Location 31735 Route 9Halfmoon, NY 12065-2421 · Phone (518) 489-7641 · Fax (518) 489-7641

Location 4319 S Manning Blvd Ste 106Albany, NY 12208-1743 · Phone (518) 438-1019 · Fax (518) 438-0981

Location 54 Executive Park Dr Ste 2Albany, NY 12203-3717 · Phone (518) 489-7494 · Fax (518) 489-7641

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nina Marie Charbonneau Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931630100

PECOS Enrollment IDI20240930002447

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 Reassignments

Medicare enrollment records show Nina Charbonneau reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Peters Health Partners Medical Associates, P.C.

Same address

Urology

2231 BURDETT AVENUE SUITE 230
Troy, NY 12180

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: St. Peter's Health Partners Medical Associates, P.C.
742 clinicians in this Medicare group

NPI 1336575430 (518) 272-1333

Ctp Newton Medical PC

4.7 mi

Urgent Care

588 NEW LOUDON RD
Latham, NY 12110

Reassigned Medicare billing, New York enrollment
Also billed through NPI 1942285804 (New York)
9 clinicians in this Medicare group

NPI 1801851829 (518) 785-2662

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

23 services21 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

20 services20 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

St Peter's Hospital

Acute Care Hospitals · Albany, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330057

Location315 South Manning BoulevardAlbany, NY 12208 · Albany County

Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330180

Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12180 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNA LOUISE WATSON CNM

Midwife