DR. MISTIE A CHARLEMAGNE MD
NPI 1407089436
Internal Medicine in Pine Bluff, AR
About Dr. Mistie A Charlemagne Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MISTIE A CHARLEMAGNE MD (NPI 1407089436) is an individual internal medicine provider in Pine Bluff, Arkansas, licensed in Arkansas (E-11036) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jonesboro, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 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
Dr. Mistie A Charlemagne Md 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 Mistie Charlemagne reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pine Bluff, AR 71603
- Reassigned Medicare billing, Arkansas enrollment
- 58 clinicians in this Medicare group
Pine Bluff, AR 71603
- Reassigned Medicare billing, Arkansas enrollment
- 106 clinicians in this Medicare group
Forrest City, AR 72335
- Reassigned Medicare billing, Arkansas enrollment
- 29 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 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 71603 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.
PINE BLUFF, AR 71603
PINE BLUFF, AR 71603
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 Mistie Charlemagne's NPI number?
The NPI number for Mistie Charlemagne is 1407089436. It was assigned to this individual provider in the NPPES registry on August 25, 2009. The provider is also known as Mistie A Mutombo MD.
Where is Mistie Charlemagne located?
Mistie Charlemagne practices at 1600 W 40th Ave, Pine Bluff, AR 71603. The listed phone number is (870) 541-8767.
What is Mistie Charlemagne's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Mistie Charlemagne enrolled in Medicare?
Yes. Mistie Charlemagne 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 Mistie Charlemagne's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mistie Charlemagne reassigns Medicare benefits to 3 organizations: Southeast Arkansas Hospitalists, LLP (Pine Bluff, AR), Jefferson Hospital Association, Inc (Pine Bluff, AR) and Forrest City Physician Services, PLLC (Forrest City, AR). 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 Mistie Charlemagne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mistie Charlemagne 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 1 other insurer list Mistie Charlemagne 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 Mistie Charlemagne was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Mistie A Charlemagne, MD · NPI 1407089436
Internal Medicine physician in Pine Bluff, Arkansas. Individual provider, active in the CMS NPPES registry since August 25, 2009.
## Identity
- **NPI:** 1407089436 (Entity type: Individual)
- **Enumerated:** August 25, 2009
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** E-11036 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1600 W 40TH AVE, Pine Bluff, AR 71603-6301
- **Phone:** (870) 541-8767 · **Fax:** (870) 541-8761
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Southeast Arkansas Hospitalists, LLP (NPI 1912374018, Pine Bluff, AR); Jefferson Hospital Association, Inc (NPI 1932157674, Pine Bluff, AR); Forrest City Physician Services, PLLC (NPI 1154815181, Forrest City, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** July 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1407089436) · Data from the CMS NPPES public registry.