JESSICA LYNNE CHARLES DC
NPI 1104405497
Chiropractor in Dallas, TX
About Jessica Lynne Charles Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA LYNNE CHARLES DC (NPI 1104405497) is an individual chiropractor in Dallas, Texas, licensed in Texas (14611) and active in the NPI registry since April 2021. She is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jessica Lynne Charles Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Jessica Charles reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Desoto, TX 75115
- Reassigned Medicare billing, Texas enrollment
- 17 clinicians in this Medicare group
Desoto, TX 75115
- Reassigned Medicare billing, Texas enrollment
- 36 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jessica Charles's NPI number?
The NPI number for Jessica Charles is 1104405497. It was assigned to this individual provider in the NPPES registry on April 5, 2021.
Where is Jessica Charles located?
Jessica Charles practices at 4801 S Buckner Blvd Ste 200, Dallas, TX 75227. The listed phone number is (214) 381-7700.
What is Jessica Charles's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Jessica Charles enrolled in Medicare?
Yes. Jessica Charles is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jessica Charles's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Charles reassigns Medicare benefits to 2 organizations: Beulah Family Clinic Professional Limited Liability Company (Desoto, TX) and Hephzibah Visiting Clinicians (Desoto, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Charles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessica Charles accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare and Providence Health Plan list Jessica Charles as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jessica Charles was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jessica Lynne Charles, DC · NPI 1104405497
Chiropractor provider in Dallas, Texas. Individual provider, active in the CMS NPPES registry since April 5, 2021.
## Identity
- **NPI:** 1104405497 (Entity type: Individual)
- **Enumerated:** April 5, 2021
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 14611 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4801 S BUCKNER BLVD STE 200, Dallas, TX 75227-2372
- **Phone:** (214) 381-7700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Beulah Family Clinic Professional Limited Liability Company (NPI 1750144150, Desoto, TX); Hephzibah Visiting Clinicians (NPI 1083101075, Desoto, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** April 5, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1104405497) · Data from the CMS NPPES public registry.