KIMBERLY NICOLE CHARLES FNP
NPI 1982943254
Nurse Practitioner - Family in Lake Success, NY

Q: What is Kimberly Charles's NPI number?

The NPI number for Kimberly Charles is 1982943254. It was assigned to this individual provider in the NPPES registry on February 6, 2013.

Q: What is Kimberly Charles's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Charles was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 February 06, 2013PECOS Enrolled

1999 MARCUS AVE, SUITE 116, LAKE SUCCESS, NY 11042(516) 403-1550(516) 403-1551 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2021, Dec 4, 2015 (2 updates tracked since 2015).

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About Kimberly Nicole Charles Fnp NPPES

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

KIMBERLY NICOLE CHARLES FNP (NPI 1982943254) is an individual family provider in Lake Success, New York, licensed in New York (337723) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982943254

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY NICOLE CHARLESCredential: FNP

Location Address1999 MARCUS AVE, SUITE 116Lake Success, NY 11042

Mailing Address1999 Marcus Ave, Suite 116New Hyde Park, NY 11042-1033 · (516) 403-1550

Phone(516) 403-1550

Fax(516) 403-1551

Sole ProprietorNo

Enumeration DateFebruary 6, 2013

Last NPPES UpdateApril 5, 20212 updates tracked since enumeration

NPPES CertifiedApril 5, 2021

✔ NPI 1982943254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 337723

1999 MARCUS AVE, Lake Success, NY 11042

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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 (PECOS)

Kimberly Nicole Charles Fnp 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 11042 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.

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.

GREGORY T PONTONE MD

Internal Medicine (Cardiovascular Disease)

1999 MARCUS AVE, SUITE 110
NEW HYDE PARK, NY 11042

Nassau County (516) 355-5525

MITCHELL RUSS BERGER MD

Internal Medicine

1999 MARCUS AVE, SUITE M14
NEW HYDE PARK, NY 11042

Nassau County (516) 437-4360

REBECCA RAYE BITTMAN

Nurse Practitioner (Adult Health)

1999 MARCUS AVE
NEW HYDE PARK, NY 11042

Nassau County (516) 467-8600

RICHARD STARK MD

Internal Medicine (Hematology & Oncology)

1999 MARCUS AVE, STE 120
LAKE SUCCESS, NY 11042

Nassau County (516) 466-6611

AVITAL E FRIEDMAN

General Practice

1999 MARCUS AVE
NEW HYDE PARK, NY 11042

Nassau County (516) 233-3780

JEFFREY EZRA HALLER MD

Internal Medicine (Nephrology)

1999 MARCUS AVE, SUITE 216
NEW HYDE PARK, NY 11042

Nassau County (516) 775-4545

MRS. HEATHER SULZBACH

Nurse Practitioner

1999 MARCUS AVE, SUITE 120
LAKE SUCCESS, NY 11042

Nassau County (516) 466-6611

DR. BRIAN THOMAS MCNELIS M.D.

Internal Medicine (Hematology & Oncology)

1999 MARCUS AVE, SUITE 300
NEW HYDE PARK, NY 11042

Nassau County (516) 883-0122

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 Kimberly Charles's NPI number?

The NPI number for Kimberly Charles is 1982943254. It was assigned to this individual provider in the NPPES registry on February 6, 2013.

Where is Kimberly Charles located?

Kimberly Charles practices at 1999 Marcus Ave Suite 116, Lake Success, NY 11042. The listed phone number is (516) 403-1550.

What is Kimberly Charles's specialty?

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

Is Kimberly Charles enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kimberly Charles was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.