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

Gregory L Charleston, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1760246706

Gregory L Charleston, AGACNP-BC is a Nurse Practitioner in Pueblo, Colorado. Qualified in 2021, 5 years ago. Practices with Endovascular Consultants of Colorado PC, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
5
Licensed in
CO
In the registry since
2024
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

400 W 16th St
Pueblo, CO 81003-2745
Phone: (719) 584-4020
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APN.0996825-NP (CO)

Record details

NPI number1760246706
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedFebruary 9, 2024
Last updated in NPPESFebruary 9, 2024
Certification dateFebruary 9, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Endovascular Consultants Of Colorado Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Pueblo