MR. CHARLES KING
NPI 1790134948
Nurse Practitioner - Psychiatric/Mental Health in Booneville, KY

Q: What is Charles King's NPI number?

The NPI number for Charles King is 1790134948. It was assigned to this individual provider in the NPPES registry on June 8, 2016.

Q: What is Charles King'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 Charles King was last updated on November 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 08, 2016PECOS EnrolledAccepts Medicare Assignment

826 KY 11 N, BOONEVILLE, KY 41314(606) 593-6395(606) 593-5916 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Charles King NPPES

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

MR. CHARLES KING (NPI 1790134948) is an individual psychiatric/mental health provider in Booneville, Kentucky, licensed in Kentucky (3010331) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Berea, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1790134948

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. CHARLES KING

Location Address826 KY 11 NBooneville, KY 41314-9155

Mailing Address122 Whispering Hills DrBerea, KY 40403-9753 · (859) 625-2804

Phone(606) 593-6395

Fax(606) 593-5916

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateJune 8, 2016

Last NPPES UpdateNovember 2, 2021

NPPES CertifiedNovember 2, 2021

✔ NPI 1790134948 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 KY · 3010331

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3010331 (KY)

826 KY 11 N, Booneville, KY 41314

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Secondary Practice Location 1

Location 1234 Brenwood StBerea, KY 40403-1637 · Phone (859) 985-0302

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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

Mr. Charles King 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 ID2466732813

PECOS Enrollment IDI20161201000948

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 41314 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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 3

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

6 suppliers16 claims27 services$3.93 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$907.03 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier21 claims21 services$119.54 avg. paid by Medicare

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

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Other Providers at the Same Location NPPES 8

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

MOUNTAIN COMPREHENSIVE HEALTH CORPORATION

Clinic/Center (Primary Care)