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CHARLENE MAE JAQUES APN
NPI 1376373761
Nurse Practitioner in Farmington, AR

Active since August 01, 2024PECOS EnrolledAccepts Medicare Assignment
11112 SHUMATE CROSSING RD, FARMINGTON, AR 72730(479) 856-9363 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2024, Aug 4, 2024 (2 updates tracked since 2024).

About Charlene Mae Jaques Apn NPPES

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

CHARLENE MAE JAQUES APN (NPI 1376373761) is an individual nurse practitioner in Farmington, Arkansas, licensed in Arkansas (229879) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1376373761
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCHARLENE MAE JAQUESCredential: APN
Location Address11112 SHUMATE CROSSING RDFarmington, AR 72730-8792
Mailing Address11112 Shumate Crossing RdFarmington, AR 72730-8792 · (479) 856-9363
Phone(479) 856-9363
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 1, 2024
Last NPPES UpdateDecember 2, 20242 updates tracked since enumeration
NPPES CertifiedDecember 2, 2024
✔ NPI 1376373761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AR · 229879
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 229879 (AR)
11112 SHUMATE CROSSING RD, Farmington, AR 72730
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charlene Mae Jaques Apn 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.

PECOS PAC ID143730259
PECOS Enrollment IDI20250609001019
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72730 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELEVATION FAMILY HEALTHCARE, PLLC
Family Medicine
11112 SHUMATE CROSSING RD
FARMINGTON, AR 72730
Washington County (479) 530-4744

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 Charlene Jaques's NPI number?

The NPI number for Charlene Jaques is 1376373761. It was assigned to this individual provider in the NPPES registry on August 1, 2024.

Where is Charlene Jaques located?

Charlene Jaques practices at 11112 Shumate Crossing Rd, Farmington, AR 72730. The listed phone number is (479) 856-9363.

What is Charlene Jaques's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Charlene Jaques enrolled in Medicare?

Yes. Charlene Jaques 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.

When was this NPI record last updated?

The NPPES record for Charlene Jaques was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.