MS. CHARLOTTE ROSE TATANGELO (FNP-C) – Family Nurse Practitioner, NPI 1114308103

MS. CHARLOTTE ROSE TATANGELO (FNP-C) is a healthcare provider. based in Grand rapids, Michigan. specializing in Family Nurse Practitioner. They hold the professional credentials FNP-C. They hold a License No. 4704243704 (MI). The NPI Number for MS. CHARLOTTE ROSE TATANGELO (FNP-C) is 1114308103

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MS. CHARLOTTE ROSE TATANGELO (FNP-C)
NPI
1114308103
Phone
(616) 954-9800
Address
5800 FOREMOST DR SE STE 300
Enumeration Date
15 June 2015
Last Update Date
13 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6169549800
Graduation Year
2014 (12 years ago)
PAC ID
8325320591
Group Practice PAC ID
4082526793
Professional Enrollment ID
I20170124000090
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for MS. CHARLOTTE ROSE TATANGELO (FNP-C)

  • 5800 FOREMOST DR SE STE 300

    GRAND RAPIDS, MI 495467062

    Phone: (616) 954-9800

    Type: Mailing

  • 6425 S HARVEY ST

    NORTON SHORES, MI 494449739

    Phone: (231) 737-3469

    Fax: (231) 737-4548

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $454.

Total Amount is formed as General ($454) + Research ($0) + Ownership ($0) = $454.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($54).

Total Amount

$454

General + Research + Ownership

Payments

22

Total payment records

General Amount

$454

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2017-01-24

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
I20170124000090INurse PractitionerMITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6844$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2615$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1712$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 49546)

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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: 4082526793View full group profile
NameSpecialtyState
Nurse PractitionerMI
Medical OncologyMI
Nurse PractitionerMI
Hematology/Oncology, Internal MedicineMI
Physician AssistantMI
-MI
-MI
-MI
Physician AssistantMI
H E M A T O L O G Y/ O N C O L O G YMI

Reviews

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Frequently asked questions

What number should I use to identify MS. CHARLOTTE ROSE TATANGELO (FNP-C) for billing?
Administrative and clinical systems typically use NPI 1114308103 for MS. CHARLOTTE ROSE TATANGELO (FNP-C).
Should I treat MS. CHARLOTTE ROSE TATANGELO (FNP-C) as an active provider?
Patients and plans typically see MS. CHARLOTTE ROSE TATANGELO (FNP-C) as active in the national extract.
How should patients interpret MS. CHARLOTTE ROSE TATANGELO (FNP-C)'s specialty?
The extract shows Family Nurse Practitioner for MS. CHARLOTTE ROSE TATANGELO (FNP-C). Clinical services aligned with this taxonomy classification.
What geographic area is tied to MS. CHARLOTTE ROSE TATANGELO (FNP-C)?
MS. CHARLOTTE ROSE TATANGELO (FNP-C) is associated with Grand Rapids, Michigan in the same public data insurers reference.
Why is information missing for MS. CHARLOTTE ROSE TATANGELO (FNP-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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