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

Mrs. Samara Lyse Beatrice Charles, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1376410274

Mrs. Samara Lyse Beatrice Charles, NP is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2025, 1 year ago. Practices as a sole proprietor and works from 2 locations. Licensed in Delaware and Pennsylvania.

Years since qualifying
1
Licensed in
DE, PA
In the registry since
2025
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3228 N 20th St
Philadelphia, PA 19140
Phone: (267) 880-8118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1207 Delaware Ave # 3918, Wilmington, DE 19806-4743 — (267) 880-8118

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence SP034244 (PA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence L8--0010993 (DE)

Record details

NPI number1376410274
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedOctober 23, 2025
Last updated in NPPESMay 1, 2026
Certification dateMay 1, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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