Charles McEwen Wheeler III, MSN,RN,PNP-BC,CCRN
Nurse Practitioner, Pediatrics in Rutland, VT. Individual provider (NPI-1).
NPI number1295075869
StatusActive
Last updated in NPPESAug 31, 2015
Details
- NPI
- 1295075869
- Entity type
- Individual (NPI-1)
- Name
- Mr. Charles McEwen Wheeler III
- Credential
- MSN,RN,PNP-BC,CCRN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 19, 2013
- Last updated
- Aug 31, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 101-0113805 | VT | Yes |
| 363LP0200X | Nurse Practitioner, Pediatrics | RN240316 | MA |
Practice location
1 General Wing RdRutland, VT 05701-4681
Phone 802-773-9131 · Fax 802-773-1551
Mailing address
215 Stratton RdRutland, VT 05701-4621
Phone 802-855-2027 · Fax 802-855-2053
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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