1. Home
  2. Directory
  3. New York
  4. Roosevelt
  5. Nurse Practitioner
  6. NPI Profile

CHARMAINE PARKER
NPI 1962761510
Nurse Practitioner - Family in Roosevelt, NY

Active since May 16, 2012PECOS Enrolled
138 GORMLEY AVE, ROOSEVELT, NY 11575(516) 851-5143 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 29, 2022, Nov 2, 2017 (2 updates tracked since 2017).

About Charmaine Parker NPPES

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

CHARMAINE PARKER (NPI 1962761510) is an individual family provider in Roosevelt, New York, licensed in New York (34620233) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962761510
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHARMAINE PARKER
Location Address138 GORMLEY AVERoosevelt, NY 11575-2448
Mailing Address138 Gormley AveRoosevelt, NY 11575-2448 · (516) 851-5143
Phone(516) 851-5143
Sole ProprietorNo
Enumeration DateMay 16, 2012
Last NPPES UpdateDecember 29, 20222 updates tracked since enumeration
NPPES CertifiedDecember 29, 2022
✔ NPI 1962761510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 34620233
Also ListedRegistered NurseTaxonomy 163W00000X · License 652158 (NY)
138 GORMLEY AVE, Roosevelt, NY 11575
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charmaine Parker 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Charmaine Parker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brookview Medical Associates, PLLC
26 mi
General Practice
80 ORVILLE DR STE 100
Bohemia, NY 11716
  • Reassigned Medicare billing, New York enrollment
  • 754 clinicians in this Medicare group
NPI 1871965855 (972) 715-3800
Signify Health Medical Associates, PLLC
1,391 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Georgia and Pennsylvania enrollments
  • 488 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11575 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 Charmaine Parker's NPI number?

The NPI number for Charmaine Parker is 1962761510. It was assigned to this individual provider in the NPPES registry on May 16, 2012.

Where is Charmaine Parker located?

Charmaine Parker practices at 138 Gormley Ave, Roosevelt, NY 11575. The listed phone number is (516) 851-5143.

What is Charmaine Parker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Charmaine Parker enrolled in Medicare?

Yes. Charmaine Parker is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Charmaine Parker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charmaine Parker reassigns Medicare benefits to 2 organizations: Brookview Medical Associates, PLLC (Bohemia, NY) and Signify Health Medical Associates, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charmaine Parker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charmaine Parker accept?

Health plans from CareSource (Common Ground Healthcare) list Charmaine Parker 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 Charmaine Parker was last updated on December 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.