IMMACULA JEAN-CHARLES (FNP) – Family Nurse Practitioner, NPI 1871002139
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,515 NURSE PRACTITIONER in NJ
Provider Addresses for IMMACULA JEAN-CHARLES (FNP)
338 CHIMNEY ROCK RD UNIT A140
BOUND BROOK, NJ 088051286
Phone: (848) 202-8494
Type: Location
2721 Brunswick Pike
Lawrenceville, NJ 086484106
Phone: (609) 882-2577
Type: Location
Lawrenceville, Brunswick County, Virginia, United States
LAWRENCEVILLE, NJ 086484106
Phone: (609) 882-2577
Type: Mailing
10 SOUTH AVE STE 4
GARWOOD, NJ 070271338
Phone: (732) 242-9330
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: 2019-09-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190903000897 | I | Nurse Practitioner | NJ | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 273 | 269 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 82 | 82 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 70 | 70 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 45 | 45 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 42 | 41 | $0 |
Insurance plans in this area (ZIP 08805)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | NJ | |
| Nurse Practitioner | CA | |
| Physician Assistant | NC | |
| Internal Medicine | NJ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NJ | |
| N E U R O L O G Y | NJ | |
| Emergency Medicine, Internal Medicine | NJ | |
| - | PA | |
| N E U R O L O G Y | NJ | |
| Nephrology, Internal Medicine | NJ |
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