CHARLENE MARIE GANTT CRNP PMH
NPI 1760726269
Nurse Practitioner - Psychiatric/Mental Health in Frederick, MD
About Charlene Marie Gantt Crnp Pmh NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLENE MARIE GANTT CRNP PMH (NPI 1760726269) is an individual psychiatric/mental health provider in Frederick, Maryland, licensed in Virginia (0024170482) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Charlene Marie Gantt Crnp Pmh 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
3Medicare enrollment records show Charlene Gantt reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Frederick, MD 21701
- Reassigned Medicare billing, Maryland enrollment
- 132 clinicians in this Medicare group
Frederick, MD 21701
- Reassigned Medicare billing, Maryland enrollment
- 143 clinicians in this Medicare group
Gaithersburg, MD 20877
- Reassigned Medicare billing, District of Columbia enrollment
- 106 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Frederick Health Hospital
Acute Care Hospitals · Frederick, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FREDERICK, MD 21704
FREDERICK, MD 21704
FREDERICK, MD 21704
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 Charlene Gantt's NPI number?
The NPI number for Charlene Gantt is 1760726269. It was assigned to this individual provider in the NPPES registry on November 21, 2012. The provider is also known as Charlene Marie Rozich Pmhnp.
Where is Charlene Gantt located?
Charlene Gantt practices at 5970 Frederick Crossing Ln Ste 100, Frederick, MD 21704. The listed phone number is (240) 415-6373.
What is Charlene Gantt's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Charlene Gantt enrolled in Medicare?
Yes. Charlene Gantt 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 Charlene Gantt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charlene Gantt reassigns Medicare benefits to 3 organizations: Way Station, Inc. (Frederick, MD), Mosaic Community Services, Inc. (Frederick, MD) and Family Services, Inc (Gaithersburg, MD). 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 Charlene Gantt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Charlene Gantt affiliated with any hospitals?
According to CMS data, Charlene Gantt is affiliated with Frederick Health Hospital.
When was this NPI record last updated?
The NPPES record for Charlene Gantt was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Charlene Marie Gantt, CRNP PMH · NPI 1760726269
Psychiatric/Mental Health physician in Frederick, Maryland. Individual provider, active in the CMS NPPES registry since November 21, 2012.
## Identity
- **NPI:** 1760726269 (Entity type: Individual)
- **Enumerated:** November 21, 2012
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 0024170482 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 5970 FREDERICK CROSSING LN STE 100, Frederick, MD 21704-5176
- **Phone:** (240) 415-6373
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Way Station, Inc. (NPI 1114498300, Frederick, MD); Mosaic Community Services, Inc. (NPI 1073369591, Frederick, MD); Family Services, Inc (NPI 1780641928, Gaithersburg, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** May 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1760726269) · Data from the CMS NPPES public registry.