ELEVATION FAMILY HEALTHCARE, PLLC
NPI 1174491468
Family Medicine in Farmington, AR

Q: What is Elevation Family Healthcare, PLLC's NPI number?

The NPI number for Elevation Family Healthcare, PLLC is 1174491468. It was assigned to this organization in the NPPES registry on October 28, 2025.

Q: What is Elevation Family Healthcare, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since October 28, 2025

11112 SHUMATE CROSSING RD, FARMINGTON, AR 72730(479) 530-4744(479) 530-4744 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Elevation Family Healthcare, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELEVATION FAMILY HEALTHCARE, PLLC (NPI 1174491468) is a healthcare organization registered as a family medicine in Farmington, Arkansas and active in the NPI registry since October 2025. The organization lists Charlene Mae Jaques, Owner/employee, as its authorized official.

NPPES Registry Identity

NPI1174491468

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameELEVATION FAMILY HEALTHCARE, PLLC

Location Address11112 SHUMATE CROSSING RDFarmington, AR 72730

Mailing Address11112 Shumate Crossing RdFarmington, AR 72730-8792 · (479) 530-4744 · Fax (479) 530-4744

Phone(479) 530-4744

Fax(479) 530-4744

Organization SubpartNo

Authorized OfficialCharlene Mae JaquesOwner/employee · (479) 530-4744

Enumeration DateOctober 28, 2025

NPPES CertifiedOctober 7, 2025

✔ NPI 1174491468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

11112 SHUMATE CROSSING RD, Farmington, AR 72730

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elevation Family Healthcare, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Elevation Family Healthcare, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Charlene Jaques, APN

Nurse Practitioner

NPI 1376373761

11112 SHUMATE CROSSING RD
Farmington, AR 72730

(479) 856-9363

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Elevation Family Healthcare, PLLC's NPI number?

The NPI number for Elevation Family Healthcare, PLLC is 1174491468. It was assigned to this organization in the NPPES registry on October 28, 2025.

Where is Elevation Family Healthcare, PLLC located?

Elevation Family Healthcare, PLLC is located at 11112 Shumate Crossing Rd, Farmington, AR 72730. The listed phone number is (479) 530-4744.

What is Elevation Family Healthcare, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Elevation Family Healthcare, PLLC enrolled in Medicare?

Yes. Elevation Family Healthcare, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elevation Family Healthcare, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Elevation Family Healthcare, PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Elevation Family Healthcare, PLLC was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.