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

Stephanie Charbonnet, NP

Individual provider Primary Care Nurse Practitioner · NPI 1790505998

Stephanie Charbonnet, NP is a Nurse Practitioner in Media, Pennsylvania. Qualified in 2024, 2 years ago. Practices with Main Line Healthcare, a 1,153-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
2
Licensed in
PA
In the registry since
2024
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

1068 W Baltimore Pike
Media, PA 19063-5104
Phone: (484) 227-2580
Show map & directions

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

Additional practice locations (1)

  • 1900 W Olney Ave, Philadelphia, PA 19141-1108 — (215) 951-1000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SP030970 (PA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence SP030970 (PA)

Record details

NPI number1790505998
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 12, 2024
Last updated in NPPESMay 31, 2025
Certification dateMay 31, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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