MS. CHARLENE JOY DOOLEY – Nurse Practitioner, NPI 1932628567

MS. CHARLENE JOY DOOLEY is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in NURSE PRACTITIONER. They hold a License No. SP017754 (PA). The NPI Number for MS. CHARLENE JOY DOOLEY is 1932628567

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MS. CHARLENE JOY DOOLEY
NPI
1932628567
Phone
(215) 707-3133
Address
2450 W HUNTING PARK AVE
Enumeration Date
14 September 2017
Last Update Date
7 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7328866202
Graduation Year
2017 (9 years ago)
PAC ID
0749548626
Group Practice PAC ID
3678972130
Professional Enrollment ID
I20171226000107
Address ID
PA194033905NO1033XMXXX700
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

11,556 NURSE PRACTITIONER in PA

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Provider Addresses for MS. CHARLENE JOY DOOLEY

  • 2450, West Hunting Park Avenue, Tioga, Philadelphia, Philadelphia County, Pennsylvania, 19129, United States

    PHILADELPHIA, PA 191291302

    Phone: (215) 707-3133

    Fax: (215) 707-3945

    Type: Mailing

  • Temple University Hospital, 3401, North Broad Street, Philadelphia, Philadelphia County, Pennsylvania, 19140, United States

    PHILADELPHIA, PA 191405103

    Phone: (215) 707-3133

    Fax: (215) 707-3945

    Type: Location

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: 2017-12-26

PECOS data refreshed: 2026-06-15

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
I20171226000107INurse PractitionerPATBD

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 19129)

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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: 3678972130View full group profile
NameSpecialtyState
Internal MedicinePA
General SurgeryPA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
Physician AssistantPA
Nurse PractitionerPA
Nurse PractitionerFL

Reviews

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Frequently asked questions

Can I cross-check MS. CHARLENE JOY DOOLEY using NPI 1932628567?
NPI 1932628567 belongs to MS. CHARLENE JOY DOOLEY; compare other details if you need extra assurance.
Would MS. CHARLENE JOY DOOLEY appear as active to a payer?
You can treat MS. CHARLENE JOY DOOLEY as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MS. CHARLENE JOY DOOLEY?
MS. CHARLENE JOY DOOLEY's record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Pennsylvania is MS. CHARLENE JOY DOOLEY registered?
Use Philadelphia, Pennsylvania as the headline location for MS. CHARLENE JOY DOOLEY here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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