CHARLIE R JACQUES APRN
NPI 1336162890
Nurse Practitioner in St George, UT
About Charlie R Jacques Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLIE R JACQUES APRN (NPI 1336162890) is an individual nurse practitioner in St George, Utah, licensed in Utah (1976944405) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Cedar City Hospital, and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Charlie R Jacques Aprn 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 Reassignment
Medicare enrollment records show Charlie Jacques reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St George, UT 84790
- Reassigned Medicare billing, Utah enrollment
- 3,691 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cedar City Hospital
Acute Care Hospitals · Cedar City, UTSt. George Regional Hospital
Acute Care Hospitals · St George, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84790 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ST GEORGE, UT 84790
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 Charlie Jacques's NPI number?
The NPI number for Charlie Jacques is 1336162890. It was assigned to this individual provider in the NPPES registry on July 25, 2006.
Where is Charlie Jacques located?
Charlie Jacques practices at 1380 E Medical Center Dr Suite #1400, St George, UT 84790. The listed phone number is (435) 251-2600.
What is Charlie Jacques's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Charlie Jacques enrolled in Medicare?
Yes. Charlie Jacques 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 organization bills Medicare for Charlie Jacques's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charlie Jacques reassigns Medicare benefits to Ihc Health Services Inc (St George, UT). The 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 Charlie Jacques's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charlie Jacques accept?
Health plans from Molina Healthcare, Select Health and University of Utah Health Plans list Charlie Jacques 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.
Is Charlie Jacques affiliated with any hospitals?
According to CMS data, Charlie Jacques is affiliated with Cedar City Hospital and St. George Regional Hospital.
When was this NPI record last updated?
The NPPES record for Charlie Jacques was last updated on June 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Charlie R Jacques, APRN · NPI 1336162890
Nurse Practitioner physician in St George, Utah. Individual provider, active in the CMS NPPES registry since July 25, 2006.
## Identity
- **NPI:** 1336162890 (Entity type: Individual)
- **Enumerated:** July 25, 2006
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 1976944405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 1380 E MEDICAL CENTER DR, SUITE #1400, St George, UT 84790-2123
- **Phone:** (435) 251-2600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ihc Health Services Inc (NPI 1457671513, St George, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** June 26, 2008
- **Other identifiers:** Medicare PIN 000063333 (UT)
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Source: [NPI Profile](https://npiprofile.com/npi/1336162890) · Data from the CMS NPPES public registry.