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

Samuelle A Jean Charles

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1174365118

Samuelle A Jean Charles is a Nurse Practitioner in Somerville, Massachusetts. Qualified in 2023, 3 years ago. Practices with Northeast Health Services LLC, a 469-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
In the registry since
2024
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Practice location Address checks out

645 Broadway
Somerville, MA 02145-2528
Phone: (781) 712-6141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 147 Clifton St Unit 2, Malden, MA 02148-2526 — (857) 389-4086

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN2291984 (MA)

Record details

NPI number1174365118
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 11, 2024
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025
Mailing address147 Clifton St Unit 2, Malden, MA 02148-2526

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Northeast Health Services Llc — 469 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Somerville