CHARLIE M HARDIN JR. CFNP/ACNP
NPI 1669450037
Nurse Practitioner - Acute Care in Walnut Grove, MS

Active since January 05, 2006PECOS EnrolledAccepts Medicare Assignment
110 PARK STREET, WALNUT GROVE, MS 39189(601) 253-0173(601) 253-0176 Get Directions Write a Review

NPPES record last updated: March 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charlie M Hardin Jr. Cfnp/acnp NPPES

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

CHARLIE M HARDIN JR. CFNP/ACNP (NPI 1669450037) is an individual acute care provider in Walnut Grove, Mississippi, licensed in Mississippi (R857156) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Mississippi Baptist Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1669450037
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameCHARLIE M HARDIN JR.Credential: CFNP/ACNP
Location Address110 PARK STREETWalnut Grove, MS 39189
Mailing Address965 Ridge Lake Blvd Ste 103Memphis, TN 38120-9446 · (901) 227-3255 · Fax (901) 227-8591
Fax(601) 253-0176
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJanuary 5, 2006
Last NPPES UpdateMarch 7, 2018
NPI 1669450037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MS · R857156
110 PARK STREET, Walnut Grove, MS 39189

Other Identifiers 1

Medicaid03239875MS

Accepted Insurance

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

Charlie M Hardin Jr. Cfnp/acnp 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 ID8628049681
PECOS Enrollment IDI20040803001282
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mississippi Baptist Medical Center

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250102
Location1225 N State StJackson, MS 39202 · Hinds County
Emergency services Birthing friendly

Baptist Medical Center-Leake

Critical Access Hospitals · Carthage, MS
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number251315
Location1100 Highway 16 East/Po Box 909Carthage, MS 39051 · Leake County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39189 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

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.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers17 claims18 services$69.51 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$8.52 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
2 suppliers12 claims12 services$55.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Family Medicine
110 PARK STREET
WALNUT GROVE, MS 39189

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 Hardin's NPI number?

The NPI number for Charlie Hardin is 1669450037. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Where is Charlie Hardin located?

Charlie Hardin practices at 110 Park Street, Walnut Grove, MS 39189. The listed phone number is (601) 253-0173.

What is Charlie Hardin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Charlie Hardin enrolled in Medicare?

Yes. Charlie Hardin 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.

What insurance does Charlie Hardin accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Charlie Hardin 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 Hardin affiliated with any hospitals?

According to CMS data, Charlie Hardin is affiliated with Mississippi Baptist Medical Center and Baptist Medical Center-Leake.

When was this NPI record last updated?

The NPPES record for Charlie Hardin was last updated on March 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.