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

Charlese Cordry Smithson

Individual provider Family Nurse Practitioner · NPI 1477355022

Charlese Cordry Smithson is a Nurse Practitioner in Salisbury, Maryland. Qualified in 2024, 2 years ago. Practices with Tidalhealth Specialty Care LLC, a 366-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
2
Licensed in
MD
In the registry since
2025
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Practice location Address checks out

28034 Cross Creek Dr
Salisbury, MD 21801-2495
Phone: (410) 207-6880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R172855 (MD)

Record details

NPI number1477355022
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 25, 2025
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025
Mailing address28034 Cross Creek Dr, Salisbury, MD 21801-2495

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Tidalhealth Specialty Care Llc — 366 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Salisbury