DAPHNE R CHARLES (PA-C) – Physician Assistant, NPI 1215995964

DAPHNE R CHARLES (PA-C) is a healthcare provider. based in The villages, Florida. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA9103033 (FL). The NPI Number for DAPHNE R CHARLES (PA-C) is 1215995964

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DAPHNE R CHARLES (PA-C)
NPI
1215995964
Phone
(352) 259-2159
Address
1580 SANTA BARBARA BLVD
Enumeration Date
3 May 2006
Last Update Date
26 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3522592159
Graduation Year
2004 (22 years ago)
PAC ID
1153383294
Group Practice PAC ID
2365418019
Professional Enrollment ID
I20041101000280
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DAPHNE R CHARLES (PA-C)

  • 1580 SANTA BARBARA BLVD

    THE VILLAGES, FL 321596827

    Phone: (352) 259-2159

    Fax: (352) 259-5731

    Type: Mailing

  • 9973 SE 58TH AVE UNIT 104

    BELLEVIEW, FL 344209368

    Phone: (352) 693-4777

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $230.

Total Amount is formed as General ($230) + Research ($0) + Ownership ($0) = $230.

Last reported payment date: 2024-02-08 • Largest payer in this snapshot: Medtronic, Inc. ($131).

Total Amount

$230

General + Research + Ownership

Payments

3

Total payment records

General Amount

$230

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-08

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-11-01

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
I20041101000280IPhysician AssistantFLTBD

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 32159)

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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: 2365418019View full group profile

Reviews

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Frequently asked questions

Is DAPHNE R CHARLES (PA-C) listed with a National Provider Identifier?
Yes — DAPHNE R CHARLES (PA-C) has NPI 1215995964 on file in the registry.
Is there an active status for DAPHNE R CHARLES (PA-C)?
For scheduling context, DAPHNE R CHARLES (PA-C) is shown as active in the registry.
What kind of doctor is DAPHNE R CHARLES (PA-C)?
DAPHNE R CHARLES (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Where in Florida is DAPHNE R CHARLES (PA-C) registered?
Use The Villages, Florida as the headline location for DAPHNE R CHARLES (PA-C) here.
Does DAPHNE R CHARLES (PA-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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