CHAR LO (CNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1982582227

CHAR LO (CNP) is a healthcare provider. based in Wayzata, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. 13254 (MN). The NPI Number for CHAR LO (CNP) is 1982582227

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
CHAR LO (CNP)
NPI
1982582227
Phone
(952) 443-4600
Address
1120 WAYZATA BLVD E STE 210
Enumeration Date
25 August 2025
Last Update Date
25 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9524434600
Graduation Year
2025 (1 year ago)
PAC ID
1254835275
Group Practice PAC ID
7810282845
Professional Enrollment ID
I20250922000916
Address ID
MN553911915WA1120XEXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for CHAR LO (CNP)

  • 1120 WAYZATA BLVD E STE 210

    WAYZATA, MN 553911915

    Phone: (952) 443-4600

    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: 2025-09-22

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
I20250922000916INurse PractitionerMNTBD

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 55391)

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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: 7810282845View full group profile
NameSpecialtyState
Clinical PsychologistMN
Clinical Social WorkerMN
Mental Health CounselorMN
Clinical PsychologistMN
Mental Health CounselorMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Marriage And Family TherapistMN
Clinical Social WorkerMN
Clinical Social WorkerMN

Reviews

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Frequently asked questions

What is the registry number for CHAR LO (CNP)?
The registry entry for CHAR LO (CNP) shows NPI 1982582227.
Does the public listing show CHAR LO (CNP) as active?
CHAR LO (CNP)'s NPI record reflects an active status in NPPES.
What does the directory say CHAR LO (CNP) does?
Insurance directories may phrase it differently, but here CHAR LO (CNP) maps to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CHAR LO (CNP)?
CHAR LO (CNP) is associated with Wayzata, Minnesota in the same public data insurers reference.
Who maintains CHAR LO (CNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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