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Deactivated NPI 1093038416 Deactivated / Inactive NPI Male Practitioner

John J Charles

Case Manager/Care Coordinator • Albuquerque, NM

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, John Charles has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 12, 2010
NPI Deactivation Date January 25, 2021
Total Practice Duration ~11 Years of Practice (2010 – 2021)

Professional Overview & Biography Verified Profile Summary

John Charles was a registered Case Manager/Care Coordinator practicing in Albuquerque, NM. Throughout an active medical career spanning 11 years, John Charles provided care at the practice location at 2600 MARBLE AVE NE until profile deactivation on 2021-01-25.

Practice Location & Contact Primary Location

Practice Address

2600 Marble Ave Ne

Albuquerque, NM 871062058

Telephone 5052725180
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Albuquerque, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.0 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
970 Specialists

Practicing in Albuquerque, NM (3474 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

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Edwin Cramer , MA

Case Manager/Care Coordinator

NPI 1013149335

Master of Arts

Christina Weeks , CSW

Case Manager/Care Coordinator

NPI 1013554864

Clinical Social Worker

Joshua Matta

Registered Nurse

NPI 1023623733
Asil Abdelrahman

Peer Specialist

NPI 1033087846
Michael Bischoff , MA, LPCC

Counselor - Professional

NPI 1033150156

Master of Arts, Licensed Professional Clinical Counselor

NPI 1043185960

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 25, 2021

Record deactivated on January 25, 2021

NPI Profile Active March 11, 2016

NPI status registered as active in NPPES database

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Updated Practice Location March 11, 2016

Registered at 2600 MARBLE AVE NE, ALBUQUERQUE, NM 871062058 (Tel: 5052725180)

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Updated Business Mailing Address March 11, 2016

Registered at 2600 MARBLE AVE NE, ALBUQUERQUE, NM 871062058 (Tel: 5052725180)

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Provider Name / Credentials Updated March 11, 2016

Recorded as JOHN CHARLES

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2016

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration March 12, 2010

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: 1093038416
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 12, 2010
Last Update: March 11, 2016
Deactivation Date: January 25, 2021

Mailing Address

2600 Marble Ave Ne

Albuquerque, NM 871062058

Phone: 5052725180

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.