Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charlene Marie Gantt, CRNPPMH

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1760726269

Charlene Marie Gantt, CRNPPMH is a Nurse Practitioner in Frederick, Maryland. Qualified in 2001, 25 years ago. Practices with Mosaic Community Services, Inc, a 60-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
25
Licensed in
VA
In the registry since
2012
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Practice location Address checks out

5970 Frederick Crossing Ln Ste 100
Frederick, MD 21704-5176
Phone: (240) 415-6373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0024170482 (VA)

Record details

NPI number1760726269
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNPPMH
Sole proprietorNo
NPI enumeratedNovember 21, 2012
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Mosaic Community Services, Inc — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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