MATTHEW CHARLES
NPI 1770913089
Nurse Practitioner - Psychiatric/Mental Health in Saint Louis, MO

Q: What is Matthew Charles's NPI number?

The NPI number for Matthew Charles is 1770913089. It was assigned to this individual provider in the NPPES registry on November 22, 2013.

Q: What is Matthew Charles's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Charles was last updated on March 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 November 22, 2013PECOS EnrolledAccepts Medicare Assignment

10004 KENNERLY RD, STE 364B, SAINT LOUIS, MO 63128(314) 525-4429(314) 525-7260 Get Directions Write a Review

NPPES record last updated: March 14, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 14, 2017, Jan 20, 2017, Aug 17, 2016 (3 updates tracked since 2016).

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About Matthew Charles NPPES

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

MATTHEW CHARLES (NPI 1770913089) is an individual psychiatric/mental health provider in Saint Louis, Missouri, licensed in Missouri (2013037719) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1770913089

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMATTHEW CHARLES

Location Address10004 KENNERLY RD, STE 364BSaint Louis, MO 63128-2141

Mailing Address10004 Kennerly Rd, Ste 364bSaint Louis, MO 63128-2141 · (314) 525-4429 · Fax (314) 525-7260

Phone(314) 525-4429

Fax(314) 525-7260

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateNovember 22, 2013

Last NPPES UpdateMarch 14, 20173 updates tracked since enumeration

✔ NPI 1770913089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MO · 2013037719

Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X · License 2013037719 (MO)

10004 KENNERLY RD, Saint Louis, MO 63128

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Other Identifiers 1

Medicaid1770913089MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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

Matthew Charles 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 ID4486884129

PECOS Enrollment IDI20140225002284, I20220422000994

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63128 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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 20

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

DR. DAVID EARL GOODMAN DDS

Dentist (General Practice)

10004 KENNERLY RD, SUITE 240
ST LOUIS, MO 63128

St. Louis County (314) 849-3234

DR. ABRAHAM BLAIN MEDARIS MD

Psychiatry & Neurology (Psychiatry)

10004 KENNERLY RD, STE 364B
SAINT LOUIS, MO 63128

St. Louis County (314) 525-4429

VINCENT P FORTUNATO MD LLC

Internal Medicine

10004 KENNERLY RD, 255A
SAINT LOUIS, MO 63128

St. Louis County (314) 843-5140

PAIN CARE INNOVATIONS

Durable Medical Equipment & Medical Supplies

10004 KENNERLY RD, SUITE 250A
SAINT LOUIS, MO 63128

St. Louis County (314) 849-8399

DR. SYLVIA ANN STEILING M.D.

Surgery

10004 KENNERLY RD, STE 137A
SAINT LOUIS, MO 63128

St. Louis County (314) 849-2727

ST ANTHONYS PROFESSIONAL PHARMACY LLC

Pharmacy (Community/Retail Pharmacy)

10004 KENNERLY RD, SUITE 130
SAINT LOUIS, MO 63128

St. Louis County (314) 525-4777

FRANK H GAFFORD MD, PC

Internal Medicine (Cardiovascular Disease)

10004 KENNERLY RD, SUITE 283B
SAINT LOUIS, MO 63128

St. Louis County (314) 707-8319

HAND SURGERY ASSOCIATES P C

Specialist

10004 KENNERLY RD, SUITE 259B
SAINT LOUIS, MO 63128

St. Louis County (314) 842-2200

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 Matthew Charles's NPI number?

The NPI number for Matthew Charles is 1770913089. It was assigned to this individual provider in the NPPES registry on November 22, 2013.

Where is Matthew Charles located?

Matthew Charles practices at 10004 Kennerly Rd Ste 364B, Saint Louis, MO 63128. The listed phone number is (314) 525-4429.

What is Matthew Charles's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Matthew Charles enrolled in Medicare?

Yes. Matthew Charles 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.

What insurance does Matthew Charles accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 9 other insurers list Matthew Charles as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew Charles was last updated on March 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.