CHARLENE MAE JAQUES APN
NPI 1376373761
Nurse Practitioner in Farmington, AR
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
Specialties & Licenses 2
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Charlene Jaques reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Farmington, AR 72730
- Reassigned Medicare billing, Arkansas enrollment
Fayetteville, AR 72703
- Reassigned Medicare billing, Arkansas enrollment
- 2 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Arkansas enrollment
- 354 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.
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.
Other Providers at the Same Location NPPES
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 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.
Which organizations bill Medicare for Charlene Jaques's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charlene Jaques reassigns Medicare benefits to 3 organizations: Elevation Family Healthcare, PLLC (Farmington, AR), Image Medical PLLC (Fayetteville, AR) and Signify Health Medical Associates, PLLC (Dallas, 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 Charlene Jaques's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charlene Jaques accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Charlene Jaques 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 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 23 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.
# Charlene Mae Jaques, APN · NPI 1376373761
Nurse Practitioner physician in Farmington, Arkansas. Individual provider, active in the CMS NPPES registry since August 1, 2024.
## Identity
- **NPI:** 1376373761 (Entity type: Individual)
- **Enumerated:** August 1, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 229879 (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11112 SHUMATE CROSSING RD, Farmington, AR 72730-8792
- **Phone:** (479) 856-9363
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Elevation Family Healthcare, PLLC (NPI 1174491468, Farmington, AR); Image Medical PLLC (NPI 1477341469, Fayetteville, AR); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** December 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1376373761) · Data from the CMS NPPES public registry.