Question 1

What type of a medical provider is Sallie H Charles?

Accepted Answer

Sallie H Charles is a Nurse Practitioner.

Question 2

Where does Sallie H Charles practice medicine?

Accepted Answer

Sallie H Charles has the following practice address:580 MOHAWK DR, BOULDER, CO 80303-3712

Question 3

Does this provider have a license number?

Accepted Answer

Sallie H Charles has 2 license numbers, including: License Number 4399 issued in Colorado.

Question 4

Does Sallie H Charles accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Sallie H Charles have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Sallie H Charles a member of any Medical Groups?

Accepted Answer

Sallie H Charles is not affiliated with any medical groups.

Question 7

Does Sallie H Charles participate in PECOS?

Accepted Answer

Yes, Sallie H Charles participates in PECOS.

Question 8

What phone number can I call to contact Sallie H Charles?

Accepted Answer

You can call the following number: (303)-338-4545

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Sallie H Charles.

Question 10

Is Sallie H Charles  affiliated with any hospitals?

Accepted Answer

The provider is not affiliated with any hospitals.

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 4 years ago (5/18/2021).

Type/Issuer	Identifier	State
MEDICAID	45000239	CO
KAISER-COMMERCIAL NUMBER	015915	-

Taxonomy	State	Primary?
Nurse Practitioner - Taxonomy Code 363L00000X	CO	Y
Nurse Practitioner - Taxonomy Code 363L00000X	CO	N

Participates in PECOS:	YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	Yes

Sallie H Charles

Overview