Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Charles Daniel Falconer, MSN, CRNP, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1770143430

Mr. Charles Daniel Falconer, MSN, CRNP, PMHNP-BC is a Nurse Practitioner in Modesto, California. Qualified in 2019, 7 years ago. Practices with Sutter Valley Medical Foundation, a 2,464-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California, New Hampshire and Pennsylvania.

Years since qualifying
7
Licensed in
CA, NH, PA
In the registry since
2019
Specialties on file
6
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

600 Coffee Rd
Modesto, CA 95355-4201
Phone: (209) 524-9401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3425 Coffee Rd Ste A2, Modesto, CA 95355-1582 — (209) 524-9401

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95034112 (CA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 111054-23 (NH)
Registered Nurse Taxonomy 163W00000X · Licence 95410984 (CA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence SP021192 (PA)
Registered Nurse Taxonomy 163W00000X · Licence 111054-21 (NH)
Registered Nurse Taxonomy 163W00000X · Licence RN694705 (PA)

Record details

NPI number1770143430
Entity typeIndividual (Type 1)
GenderMale
Credentials MSN , CRNP , PMHNP-BC
Sole proprietorNo
NPI enumeratedJune 15, 2019
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Sutter Valley Medical Foundation — 2464 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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