Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174222475 Individual Practitioner Female Practitioner

Carly Rose Charbonneau , NP

Nurse Practitioner - Pediatrics • Springfield, MA

Professional Overview & Biography Verified Profile Summary

Carly Charbonneau, NP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Springfield, MA. Practice services are available at 759 CHESTNUT ST STE C3358 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

759 Chestnut St Ste C3358

Springfield, MA 011071619

Telephone 4137942398
Fax 4137941273

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Springfield, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.3 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
22 Specialists

Practicing in Springfield, MA (1318 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-02-18
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License MA RN2286438

Definition to come...

Practice Associates & Co-Workers

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

16 Associated Practitioners
NPI 1043439839

Doctor of Medicine (M.D.)

NPI 1144438409

Doctor of Medicine (M.D.)

NPI 1225247018

Doctor of Osteopathic Medicine (D.O.)

NPI 1235174103

Doctor of Medicine (M.D.)

Dr. Kristen Hyberg , MD

Pediatrics - Pediatric Critical Care Medicine

NPI 1316472533

Doctor of Medicine (M.D.)

NPI 1477569283

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Business Mailing Address February 18, 2026

Registered at 280 CHESTNUT ST FL 2, SPRINGFIELD, MA 011991001 (Tel: 4137945700)

👤
Provider Name / Credentials Updated February 18, 2026

Recorded as CARLY CHARBONNEAU, NP

📍
Updated Practice Location August 05, 2024

Registered at 759 CHESTNUT ST STE C3358, SPRINGFIELD, MA 011071619 (Tel: 4137942398)

📍
Updated Business Mailing Address August 05, 2024

Registered at 280 CHESTNUT STREET, 2ND FLOOR, SPRINGFIELD, MA 011991001 (Tel: 4137945700)

👤
Provider Name / Credentials Updated August 05, 2024

Recorded as CARLY KIMBALL, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2024

Nurse Practitioner (License #RN2286438 in MA)

NPI Profile Active February 27, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location February 27, 2023

Registered at 254 HARTWICK ST, SPRINGFIELD, MA 011083564 (Tel: 4133515247)

📍
Updated Business Mailing Address February 27, 2023

Registered at 254 HARTWICK ST, SPRINGFIELD, MA 011083564 (Tel: 4133515247)

👤
Provider Name / Credentials Updated February 27, 2023

Recorded as CARLY KIMBALL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2023

Registered Nurse (License #RN2286438 in MA)

🟢
Initial NPI Registration & Enumeration February 27, 2023

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: 1174222475
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2023
Last Update: February 18, 2026
Sole Proprietor: No

Mailing Address

280 Chestnut St Fl 2

Springfield, MA 011991001

Phone: 4137945700

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.