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

Matthew Charles

Individual provider Adult Psychiatric/Mental Health Registered Nurse · NPI 1770913089

Matthew Charles is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2013, 13 years ago. Practices with Greenbrook TMS St Louis LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
13
Licensed in
MO
In the registry since
2013
Specialties on file
2

Practice location Address checks out

10004 Kennerly Rd Ste 364B
Saint Louis, MO 63128-2141
Phone: (314) 525-4429
Fax: (314) 525-7260
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2013037719 (MO)
Adult Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0809X · Licence 2013037719 (MO)

Record details

NPI number1770913089
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 22, 2013
Last updated in NPPESMarch 14, 2017
Mailing address10004 Kennerly Rd, Ste 364b, Saint Louis, MO 63128-2141

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Greenbrook Tms St Louis Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Saint Louis