Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083744841 Individual Practitioner Female Practitioner

Sallie H Charles , NP

Nurse Practitioner • Boulder, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Sallie Charles, NP is a certified Nurse Practitioner practicing in Boulder, CO. With approximately 22 years of clinical experience since completing medical education in 2004, Sallie Charles delivers high-quality medical care to the local community at 580 MOHAWK DR.

Sallie Charles is affiliated with Colorado Permanente Medical Group Pc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

580 Mohawk Dr

Boulder, CO 803033712

Telephone 3033384545
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Boulder, CO

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
22 Yrs +12.9 yrs vs City Avg
City Avg: 9.1 Yrs
State Avg: 11.3 Yrs
Regional Practice Density
23 Specialists

Practicing in Boulder, CO (1283 Statewide)

Telehealth Adoption Rate
8.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Charles (22 Years) 22 Yrs
Boulder Specialty Average (9.1 Years) 9.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-05-18
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CO 4399

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License CO 63790

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
45000239 (CO)
Commercial Insurance / Payer ID Kaiser-Commercial Number
015915

Hospital & Practice Group Affiliations

Colorado Permanente Medical Group Pc

7701 Sheridan Blvd, Westminster, CO 800032605

Phone: 3033384545

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Robert Burman , MD, PhD

Radiology - Diagnostic Radiology

NPI 1003013830

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

NPI 1003029299

Doctor of Medicine (M.D.)

NPI 1003038902

Doctor of Medicine (M.D.)

Cassandra Buzard , RN

Registered Nurse

NPI 1003054461

Registered Nurse

Erik Petersen , LPC

Counselor - Professional

NPI 1003060302

Licensed Professional Counselor

Lauren Hillary , PA-C

Physician Assistant

NPI 1003075821

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2021

Nurse Practitioner (License #63790 in CO)

📍
Updated Business Mailing Address April 09, 2021

Registered at 10350 E DAKOTA AVE, DENVER, CO 802471314 (Tel: 3033384545)

📍
Updated Practice Location June 01, 2020

Registered at 580 MOHAWK DR, BOULDER, CO 803033712 (Tel: 3033384545)

📍
Updated Business Mailing Address June 01, 2020

Registered at 2500 S HAVANA ST, AURORA, CO 800141618 (Tel: 3033384545)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2020

Nurse Practitioner (License #4399 in CO)

NPI Profile Active July 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 14, 2016

Registered at 7701 SHERIDAN BLVD, WESTMINSTER, CO 800032605 (Tel: 3033384545)

📍
Updated Business Mailing Address July 14, 2016

Registered at 7701 SHERIDAN BLVD, WESTMINSTER, CO 800032605 (Tel: 3033384545)

👤
Provider Name / Credentials Updated July 14, 2016

Recorded as SALLIE CHARLES, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2016

Nurse Practitioner (License #4399 in CO)

🟢
Initial NPI Registration & Enumeration March 07, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083744841
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2007
Last Update: May 18, 2021
Sole Proprietor: No

Mailing Address

10350 E Dakota Ave

Denver, CO 802471314

Phone: 3033384545

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.