CHARLENE C LI (MD) – Family Medicine Physician, NPI 1447285838

CHARLENE C LI (MD) is a healthcare provider. based in Windsor, Connecticut. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 021556 (CT). The NPI Number for CHARLENE C LI (MD) is 1447285838

Main info

Female
49 Years Of Experience
Accepts Medicare Assignment
Name
CHARLENE C LI (MD)
NPI
1447285838
Phone
(860) 683-0756
Address
851 MARSHALL PHELPS ROAD
Enumeration Date
12 July 2006
Last Update Date
18 April 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8607144212
Graduation Year
1977 (49 years ago)
PAC ID
5092991273
Group Practice PAC ID
9032016134
Professional Enrollment ID
I20110526000811
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for CHARLENE C LI (MD)

  • 851, Marshall Phelps Road, Windsor, Hartford County, Connecticut, 06095, United States

    HEALTH ONE PHYSICIAN ASSOCIATES PC WINDSOR FAMILY MEDIC

    WINDSOR, CT 06095

    Phone: (860) 683-0756

    Fax: (860) 683-1555

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-05-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20110526000811IFamily PracticeCTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06095)

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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: 9032016134View full group profile
NameSpecialtyState
Family PracticeCT
-CT
-CT
Family PracticeCT
Family PracticeCT
Family PracticeCT
Family PracticeCT
Family PracticeCT
Family Practice, Sports MedicineCT
Nurse PractitionerCT

Reviews

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Frequently asked questions

What federal number belongs to CHARLENE C LI (MD)?
The federal identifier for CHARLENE C LI (MD) is NPI 1447285838.
Is CHARLENE C LI (MD)'s NPI currently valid?
The extract we use shows CHARLENE C LI (MD) as active.
Does CHARLENE C LI (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for CHARLENE C LI (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for CHARLENE C LI (MD)?
The page summarizes Windsor, Connecticut for CHARLENE C LI (MD); expand the address list for detail.
Is CHARLENE C LI (MD) a real provider?
This page reflects official NPPES data for NPI 1447285838. Always confirm identity and privileges with the practice and licensing boards.

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