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CHARLES HOWARD REISDORF NP-C
NPI 1922305929
Nurse Practitioner in Howell, MI

Active since February 28, 2011PECOS EnrolledAccepts Medicare Assignment
3075 E GRAND RIVER AVE STE 112, HOWELL, MI 48843(517) 798-6766 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Howard Reisdorf Np-c NPPES

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

CHARLES HOWARD REISDORF NP-C (NPI 1922305929) is an individual nurse practitioner in Howell, Michigan, licensed in Michigan (4704278150) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS, is affiliated with Berkeley Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1922305929
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameCHARLES HOWARD REISDORFCredential: NP-C
Location Address3075 E GRAND RIVER AVE STE 112Howell, MI 48843-6585
Mailing Address3075 E Grand River Ave Ste 112Howell, MI 48843-6585 · (517) 798-6766
Phone(517) 798-6766
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 28, 2011
Last NPPES UpdateJanuary 23, 2026
NPPES CertifiedJanuary 23, 2026
✔ NPI 1922305929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704278150
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704278150 (MI)
Also ListedHealth EducatorTaxonomy 174H00000X · License 21310526
3075 E GRAND RIVER AVE STE 112, Howell, MI 48843
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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

Charles Howard Reisdorf Np-c 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 ID3971807553
PECOS Enrollment IDI20260127001938
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510008
Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48843 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Charles Reisdorf's NPI number?

The NPI number for Charles Reisdorf is 1922305929. It was assigned to this individual provider in the NPPES registry on February 28, 2011.

Where is Charles Reisdorf located?

Charles Reisdorf practices at 3075 E Grand River Ave Ste 112, Howell, MI 48843. The listed phone number is (517) 798-6766.

What is Charles Reisdorf's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Charles Reisdorf enrolled in Medicare?

Yes. Charles Reisdorf 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 Charles Reisdorf affiliated with any hospitals?

According to CMS data, Charles Reisdorf is affiliated with Berkeley Medical Center.

When was this NPI record last updated?

The NPPES record for Charles Reisdorf was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.