CHARLES D HYDE (FNP) – Family Nurse Practitioner, NPI 1972644250

CHARLES D HYDE (FNP) is a healthcare provider. based in Mount angel, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. NP576A (ID). The NPI Number for CHARLES D HYDE (FNP) is 1972644250

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES D HYDE (FNP)
NPI
1972644250
Phone
(503) 845-2000
Address
690 N MAIN ST
Enumeration Date
9 February 2007
Last Update Date
6 July 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5038744747
Graduation Year
2002 (24 years ago)
PAC ID
7416999727
Group Practice PAC ID
5496016248
Professional Enrollment ID
I20091014000517
Address ID
OR973811458SI111XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

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Provider Addresses for CHARLES D HYDE (FNP)

  • 690, North Main Street, Mount Angel, Marion County, Oregon, 97373, United States

    MOUNT ANGEL, OR 973629518

    Phone: (503) 845-2000

    Fax: (503) 845-2384

    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 1 Open Payments records for all available years, with a total value of $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2023-12-29 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-29

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: 2009-10-14

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
I20091014000517INurse PractitionerORTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2418$0
99213Established patient office or other outpatient visit, 20-29 minutes2319$0
36415Insertion of needle into vein for collection of blood sample1612$0
View full utilization report →

Insurance plans in this area (ZIP 97362)

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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: 5496016248View full group profile
NameSpecialtyState
Nurse PractitionerOR
Family PracticeOR
Family PracticeGA
Family PracticeOR

Reviews

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Frequently asked questions

Is CHARLES D HYDE (FNP) listed with a National Provider Identifier?
Yes — CHARLES D HYDE (FNP) has NPI 1972644250 on file in the registry.
Would CHARLES D HYDE (FNP) appear as active to a payer?
You can treat CHARLES D HYDE (FNP) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is CHARLES D HYDE (FNP)?
CHARLES D HYDE (FNP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is CHARLES D HYDE (FNP) located near Mount Angel?
CHARLES D HYDE (FNP) currently maps to Mount Angel, Oregon in this extract.
Can I trust this NPI listing for CHARLES D HYDE (FNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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