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

Simone Charles, NURSEPRACTITIONER

Individual provider Adult Health Nurse Practitioner · NPI 1861285801

Simone Charles, NURSEPRACTITIONER is a Nurse Practitioner in New York, New York. Qualified in 2015, 11 years ago. Works from 2 locations. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2025
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Practice location Address checks out

1275 York Ave
New York, NY 10065-6007
Phone: (212) 639-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 237 Park Ave Ste 125, New York, NY 10017-3140 — (646) 358-1223

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 310232 (NY)

Record details

NPI number1861285801
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedMay 23, 2025
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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