SIMONE CHARLES NURSE PRACTITIONER
NPI 1861285801
Nurse Practitioner - Adult Health in New York, NY

Active since May 23, 2025PECOS Enrolled
1275 YORK AVE, NEW YORK, NY 10065(212) 639-2000 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 21, 2026, May 23, 2025 (2 updates tracked since 2025).

About Simone Charles Nurse Practitioner NPPES

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

SIMONE CHARLES NURSE PRACTITIONER (NPI 1861285801) is an individual adult health provider in New York, New York, licensed in New York (310232) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1861285801
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSIMONE CHARLESCredential: NURSE PRACTITIONER
Location Address1275 YORK AVENew York, NY 10065-6007
Mailing AddressPo Box 843Point Lookout, NY 11569-0843 · (646) 318-1131
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 23, 2025
Last NPPES UpdateJune 11, 20262 updates tracked since enumeration
NPPES CertifiedJune 11, 2026
NPI 1861285801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NY · 310232
1275 YORK AVE, New York, NY 10065

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Simone Charles Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294205506
PECOS Enrollment IDI20260528001354
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 10065 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Acute Care)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Pediatrics)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Internal Medicine (Hematology & Oncology)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Special Hospital
1275 YORK AVE, MEMORIAL SLOAN KETTERING CANCER CENTRE
NEW YORK, NY 10065

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 Simone Charles's NPI number?

The NPI number for Simone Charles is 1861285801. It was assigned to this individual provider in the NPPES registry on May 23, 2025.

Where is Simone Charles located?

Simone Charles practices at 1275 York Ave, New York, NY 10065. The listed phone number is (212) 639-2000.

What is Simone Charles's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Simone Charles enrolled in Medicare?

Yes. Simone Charles is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Simone Charles was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.