MARIAH KATHRYN CHARLES (APN) – Family Nurse Practitioner, NPI 1134422652

MARIAH KATHRYN CHARLES (APN) is a healthcare provider. based in Pinckneyville, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 209.008012 (IL). The NPI Number for MARIAH KATHRYN CHARLES (APN) is 1134422652

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MARIAH KATHRYN CHARLES (APN)
NPI
1134422652
Phone
(618) 357-2131
Address
5383 STATE ROUTE 154
Enumeration Date
7 December 2010
Last Update Date
26 January 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6183278236
Graduation Year
2009 (17 years ago)
PAC ID
6406039122
Group Practice PAC ID
4880599844
Professional Enrollment ID
I20110317000682
Address ID
IL622631534NA705XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MARIAH KATHRYN CHARLES (APN)

  • 5383 STATE ROUTE 154

    PINCKNEYVILLE, IL 622743342

    Phone: (618) 357-2131

    Fax: (618) 357-8844

    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)

CMS reports 29 Open Payments records for all available years, with a total value of $435.

Total Amount is formed as General ($435) + Research ($0) + Ownership ($0) = $435.

Last reported payment date: 2023-11-30 • Largest payer in this snapshot: Novo Nordisk Inc ($155).

Total Amount

$435

General + Research + Ownership

Payments

29

Total payment records

General Amount

$435

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-30

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: 2011-03-17

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
I20110317000682INurse PractitionerILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1613$0
View full utilization report →

Insurance plans in this area (ZIP 62274)

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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: 4880599844View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerIL
Nurse PractitionerMO
-IL
Family Practice, Emergency Medicine, General SurgeryIL
-IL
Nurse PractitionerMO
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What NPI should I save for MARIAH KATHRYN CHARLES (APN)?
Save NPI 1134422652 if you need a stable reference for MARIAH KATHRYN CHARLES (APN).
Is MARIAH KATHRYN CHARLES (APN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MARIAH KATHRYN CHARLES (APN)?
The page reflects Family Nurse Practitioner for MARIAH KATHRYN CHARLES (APN). Clinical services aligned with this taxonomy classification.
Does MARIAH KATHRYN CHARLES (APN) practice in Illinois?
You will see Pinckneyville, Illinois on file for MARIAH KATHRYN CHARLES (APN) alongside any extra practice locations.
Is MARIAH KATHRYN CHARLES (APN) a real provider?
This page reflects official NPPES data for NPI 1134422652. Always confirm identity and privileges with the practice and licensing boards.

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