SALICONTE CHARLES – Gerontology Nurse Practitioner, NPI 1306564323

SALICONTE CHARLES is a healthcare provider. based in Orlando, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 11021404 (FL). The NPI Number for SALICONTE CHARLES is 1306564323

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
SALICONTE CHARLES
NPI
1306564323
Phone
(561) 859-3316
Address
4862 SOUTHLAWN AVE
Enumeration Date
16 August 2022
Last Update Date
16 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3219466864
Graduation Year
2021 (5 years ago)
PAC ID
3870964588
Group Practice PAC ID
8820184500
Professional Enrollment ID
I20241120002861
Address ID
FL327655286OV1451XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for SALICONTE CHARLES

  • 4862 SOUTHLAWN AVE

    ORLANDO, FL 328117610

    Phone: (561) 859-3316

    Type: Mailing

  • 2201 LUCIEN WAY STE 100

    MAITLAND, FL 327517003

    Phone: (407) 691-4517

    Type: Location

  • 1827 W HILLSBORO BLVD

    DEERFIELD BEACH, FL 334421442

    Phone: (954) 800-4054

    Type: Mailing

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: 2024-11-20

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
I20241120002861INurse PractitionerFLTBD

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 32811)

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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: 8820184500View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Internal Medicine, Geriatric MedicineFL

Reviews

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Frequently asked questions

What is the standard ID for SALICONTE CHARLES in the U.S.?
In the U.S., SALICONTE CHARLES is identified by NPI 1306564323.
Does the public listing show SALICONTE CHARLES as active?
SALICONTE CHARLES's NPI record reflects an active status in NPPES.
What services align with SALICONTE CHARLES's listing?
SALICONTE CHARLES's public classification highlights Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to SALICONTE CHARLES?
SALICONTE CHARLES shows a connection to Orlando, Florida in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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