MS. MICHELLE MARIE CHARLES PMHNP,LCSW; RN
NPI 1871969329
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Q: What is Michelle Charles's NPI number?

The NPI number for Michelle Charles is 1871969329. It was assigned to this individual provider in the NPPES registry on August 19, 2015.

Q: What is Michelle 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 Michelle Charles was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since August 19, 2015PECOS Enrolled

180 FORT WASHINGTON AVE FL 6, NEW YORK, NY 10032(212) 305-3174 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 3, 2024, Jul 11, 2023, Dec 3, 2021 and 1 more (4 updates tracked since 2018).

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About Ms. Michelle Marie Charles Pmhnp,lcsw; Rn NPPES

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

MS. MICHELLE MARIE CHARLES PMHNP,LCSW; RN (NPI 1871969329) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (404955) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1871969329

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. MICHELLE MARIE CHARLESCredential: PMHNP,LCSW; RN

Location Address180 FORT WASHINGTON AVE FL 6New York, NY 10032-3722

Mailing Address224 W 124th St Apt 1108New York, NY 10027-4938 · (917) 517-9286

Phone(212) 305-3174

Sole ProprietorNo

Enumeration DateAugust 19, 2015

Last NPPES UpdateSeptember 3, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2024

✔ NPI 1871969329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

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

Taxonomy Code363LP0808X

License✔ Licensed in NY · 404955

Also ListedSocial WorkerTaxonomy 104100000X · License 095645-1 (NY)

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 087700-1 (NY)

Also ListedRegistered NurseTaxonomy 163W00000X · License 827298 (NY)

180 FORT WASHINGTON AVE FL 6, New York, NY 10032

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Secondary Practice Locations 2

Location 11275 York AveNew York, NY 10065-6007 · Phone (212) 639-7261

Location 21090 Amsterdam AveNew York, NY 10025-1737 · Phone (212) 241-7228

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Michelle Marie Charles Pmhnp,lcsw; Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10032 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 7

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

ADAM KOPP MD

Internal Medicine (Infectious Disease)