SANDRA E. CHARLES (APRN) – Family Nurse Practitioner, NPI 1417590100

SANDRA E. CHARLES (APRN) is a healthcare provider. based in Stratford, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 00000 (CT). The NPI Number for SANDRA E. CHARLES (APRN) is 1417590100

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
SANDRA E. CHARLES (APRN)
NPI
1417590100
Phone
(203) 543-3743
Address
6 PEARL PL
Enumeration Date
24 October 2019
Last Update Date
24 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2036265550
Graduation Year
2018 (8 years ago)
PAC ID
9133532146
Group Practice PAC ID
6901062546
Professional Enrollment ID
I20210113000165
Address ID
CT064921832WA85XXXRDXX305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

4,196 NURSE PRACTITIONER in CT

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Provider Addresses for SANDRA E. CHARLES (APRN)

  • Pearl Place, Stratford, Fairfield County, Connecticut, 06610:06611, United States

    STRATFORD, CT 066142035

    Phone: (203) 543-3743

    Type: Mailing

  • Grimes Center, 1354, Chapel Street, Dwight Street Historic District, New Haven, New Haven County, Connecticut, 06511, United States

    NEW HAVEN, CT 065114420

    Phone: (203) 867-8300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Valinor Pharma, LLC ($38).

Total Amount

$38

General + Research + Ownership

Payments

2

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Valinor Pharma, LLC$38
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-09-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210113000165INurse PractitionerCTTBD
I20210922000413INurse PractitionerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes643170$0
99213Established patient office or other outpatient visit, 20-29 minutes13287$0
99204New patient office or other outpatient visit, 45-59 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 06614)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901062546View full group profile
NameSpecialtyState
Nurse PractitionerCT
Nurse PractitionerCT

Reviews

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Frequently asked questions

Can I cross-check SANDRA E. CHARLES (APRN) using NPI 1417590100?
NPI 1417590100 belongs to SANDRA E. CHARLES (APRN); compare other details if you need extra assurance.
Is SANDRA E. CHARLES (APRN) shown as active in public data?
Registry records indicate SANDRA E. CHARLES (APRN) maintains an active NPI.
What kind of doctor is SANDRA E. CHARLES (APRN)?
SANDRA E. CHARLES (APRN) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is SANDRA E. CHARLES (APRN) located near Stratford?
SANDRA E. CHARLES (APRN) currently maps to Stratford, Connecticut in this extract.
Does SANDRA E. CHARLES (APRN) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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