CHARLENE MARIE GANTT CRNP PMH
NPI 1760726269
Nurse Practitioner - Psychiatric/Mental Health in Frederick, MD

Active since November 21, 2012PECOS EnrolledAccepts Medicare Assignment
84.77/100
CMS Quality Rating
5970 FREDERICK CROSSING LN STE 100, FREDERICK, MD 21704(240) 415-6373 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1760726269
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCHARLENE MARIE GANTTCredential: CRNP PMH
Location Address5970 FREDERICK CROSSING LN STE 100Frederick, MD 21704-5176
Mailing Address515 Mound Builder LoopHedgesville, WV 25427-7833 · (240) 415-8893
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateNovember 21, 2012
Last NPPES UpdateMay 26, 2026
NPPES CertifiedMay 26, 2026
NPI 1760726269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in VA · 0024170482
5970 FREDERICK CROSSING LN STE 100, Frederick, MD 21704

Other Names 1

Former Name (1)Charlene Marie Rozich Pmhnp

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

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.

PECOS PAC ID3072758556
PECOS Enrollment IDI20160804000040
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 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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
421 services90 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
79 services41 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
63 services26 patients

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, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210005
Location400 West Seventh StFrederick, MD 21701 · Frederick County
Emergency services Birthing friendly

Physician 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.

New Patient
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

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.

84.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.96
Promoting Interoperability77
Improvement Activities40
Cost92.79

Other Providers at the Same Location NPPES 13

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

Social Worker
5970 FREDERICK CROSSING LN STE 100
FREDERICK, MD 21704
Counselor (Mental Health)
5970 FREDERICK CROSSING LN STE 100
FREDERICK, MD 21704
Social Worker (Clinical)
5970 FREDERICK CROSSING LN STE 100
FREDERICK, MD 21704
Social Worker
5970 FREDERICK CROSSING LN STE 100
FREDERICK, MD 21704
Nurse Practitioner (Psychiatric/Mental Health)
5970 FREDERICK CROSSING LN STE 100
FREDERICK, MD 21704
Nurse Practitioner (Psychiatric/Mental Health)
5970 FREDERICK CROSSING LN STE 100
FREDERICK, MD 21704
Social Worker (Clinical)
5970 FREDERICK CROSSING LN STE 100
FREDERICK, MD 21704
Counselor (Mental Health)
5970 FREDERICK CROSSING LN STE 100
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.

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 with the weekly NPPES data releases published by CMS.