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Charlyn K Ware , MS RD LDN

Dietitian, Registered β€’ Springfield, IL

Active NPI 1174934269 Individual Practitioner Female Practitioner
Practice location in NPPES

751 N Rutledge St Ste 1100
Springfield, IL 627024968

Call 2175458000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

751 N Rutledge St Ste 1100

Springfield, IL 627024968

Telephone 2175458000
Fax 2175454735
Organization at the Same NPPES Address or Phone
Board Of Trustees Of Southern Illinois University Facility NPI 1679188437

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Springfield, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Charlyn Ware has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Springfield and Illinois

60 active clinicians are listed under Dietitian, Registered with a practice address in Springfield, IL (2,870 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

0% of these 60 clinicians have the CMS telehealth indicator.

20% of these 60 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-01-17
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES IL 164.001664

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL

Medicare Enrollment ID

I20200218000769

Enrollment State Jurisdiction

IL

PECOS Control ID

7416384284

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

2115 S Macarthur Blvd

Springfield, IL 627044501

Phone: 2177261001

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Nour Albastt , MD

Internal Medicine

NPI 1174257281

Doctor of Medicine (M.D.)

Dr. Janet Albers , MD

Family Medicine

NPI 1023006913

Doctor of Medicine (M.D.)

Jay Benoit

Nurse Practitioner - Family

NPI 1003579335
Dr. Mukul Bhattarai , MD

Internal Medicine - Cardiovascular Disease

NPI 1013204262

Doctor of Medicine (M.D.)

Dr. Fadel Bofarrag , MD, MPH

Internal Medicine - Cardiovascular Disease

NPI 1003291279

Doctor of Medicine (M.D.), Master of Public Health

Dr. Timothy Carroll , MD

Internal Medicine

NPI 1235751231

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location January 17, 2024

Registered at 751 N RUTLEDGE ST STE 1100, SPRINGFIELD, IL 627024968 (Tel: 2175458000)

πŸ“
Updated Business Mailing Address January 17, 2024

Registered at PO BOX 19639, SPRINGFIELD, IL 627949639 (Tel: 2175458000)

πŸ‘€
Provider Name / Credentials Updated January 17, 2024

Recorded as CHARLYN WARE, MS RD LDN

πŸ“
Updated Practice Location February 18, 2020

Registered at 751 N RUTLEDGE ST STE 3100, SPRINGFIELD, IL 627024968 (Tel: 2175458000)

βœ…
NPI Profile Active May 12, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 12, 2014

Registered at 2115 S MACARTHUR BLVD, SPRINGFIELD, IL 627044501 (Tel: 2177261001)

πŸ“
Business Mailing Address (Initial Record) May 12, 2014

Registered at 2115 S MACARTHUR BLVD, SPRINGFIELD, IL 627044501 (Tel: 2177261001)

πŸ‘€
Provider Name / Credentials (Initial Record) May 12, 2014

Recorded as CHARLYN FARGO WARE, MS RD LDN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2014

Dietitian, Registered (license number reported to NPPES: IL 164.001664)

🟒
Initial NPI Registration & Enumeration May 12, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174934269
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2014
Last Update: January 17, 2024
Sole Proprietor: Yes

Other Dietitian, Registereds in Springfield

All Dietitian, Registereds in Springfield

Mailing Address

Po Box 19639

Springfield, IL 627949639

Phone: 2175458000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.