Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. CHARLES EDWARD SELF PA-C
NPI 1497741995
Physician Assistant - Medical in Minden, LA

Active since September 21, 2005PECOS Enrolled
1111 HOMER RD, MINDEN, LA 71055(318) 377-7500(318) 377-2324 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Charles Edward Self Pa-c NPPES

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

MR. CHARLES EDWARD SELF PA-C (NPI 1497741995) is an individual medical provider in Minden, Louisiana, licensed in Louisiana (PA.A10425.RX) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497741995
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. CHARLES EDWARD SELFCredential: PA-C
Location Address1111 HOMER RDMinden, LA 71055-3027
Mailing Address1611 Germantown RdMinden, LA 71055-1301 · (318) 469-6331 · Fax (318) 377-2324
Fax(318) 377-2324
Sole ProprietorNo
Enumeration DateSeptember 21, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1497741995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in LA · PA.A10425.RX
1111 HOMER RD, Minden, LA 71055

Other Identifiers 1

OtherPA.A10425.RXLA · La State Pa License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Charles Edward Self Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 6

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.

Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
58 services45 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services37 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
42 services40 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
14 services13 patients

Other Providers at the Same Location NPPES 7

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

Counselor (Professional)
1111 HOMER RD
MINDEN, LA 71055
Nurse Practitioner (Family)
1111 HOMER RD
MINDEN, LA 71055
Clinic/Center (Rural Health)
1111 HOMER RD
MINDEN, LA 71055
Family Medicine
1111 HOMER RD
MINDEN, LA 71055
Clinic/Center (Rural Health)
1111 HOMER RD
MINDEN, LA 71055
Family Medicine
1111 HOMER RD
MINDEN, LA 71055
Nurse Practitioner (Family)
1111 HOMER RD
MINDEN, LA 71055

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 Charles Self's NPI number?

The NPI number for Charles Self is 1497741995. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is Charles Self located?

Charles Self practices at 1111 Homer Rd, Minden, LA 71055. The listed phone number is (318) 377-7500.

What is Charles Self's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Charles Self enrolled in Medicare?

Yes. Charles Self is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Self was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.