MR. VERNON THOMAS JAQUES LCSW
NPI 1689746554
Social Worker - Clinical in Gallup, NM

Active since November 15, 2006PECOS EnrolledAccepts Medicare Assignment
73.12/100
CMS Quality Rating
516 E. NIZHONI BLVD, GALLUP, NM 87301(505) 722-1000(928) 697-4189 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 10, 2020, Jul 24, 2018, Sep 29, 2016 (3 updates tracked since 2016).

About Mr. Vernon Thomas Jaques Lcsw NPPES

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

MR. VERNON THOMAS JAQUES LCSW (NPI 1689746554) is an individual clinical provider in Gallup, New Mexico, licensed in New Mexico (C-10278) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Gallup Indian Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1689746554
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. VERNON THOMAS JAQUESCredential: LCSW
Location Address516 E. NIZHONI BLVDGallup, NM 87301-5748
Mailing AddressPo Box 1337Gallup, NM 87305-1337 · (505) 722-1000 · Fax (928) 697-4189
Fax(928) 697-4189
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateNovember 15, 2006
Last NPPES UpdateJune 10, 20203 updates tracked since enumeration
NPPES CertifiedJune 10, 2020
NPI 1689746554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in NM · C-10278 Licensed in NM · M-04628
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
516 E. NIZHONI BLVD, Gallup, NM 87301

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

Mr. Vernon Thomas Jaques Lcsw 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 ID5294754461
PECOS Enrollment IDI20051116000823
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

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

Gallup Indian Medical Center

Acute Care Hospitals · Gallup, NM
2/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number320061
Location516 E Nizhoni BlvdGallup, NM 87301 · Mckinley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87301 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
$0.00 typical visit price
range $54.26 – $166.80
Typical copayment $0.00 (range $13.56 – $41.70)
Most-billed visit code NA
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.63
Improvement Activities40
Cost49.43

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.

Registered Nurse (Ambulatory Care)
516 E. NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse
516 E. NIZHONI BLVD, BOX 1337
GALLUP, NM 87301
Dentist
516 E. NIZHONI BLVD, BOX 1337
GALLUP, NM 87301
Registered Nurse (Ambulatory Care)
516 E. NIZHONI BLVD
GALLUP, NM 87301
Pharmacy Technician
516 E. NIZHONI BLVD
GALLUP, NM 87301
Internal Medicine
516 E. NIZHONI BLVD, BOX 1337
GALLUP, NM 87301
Pediatrics
516 E. NIZHONI BLVD, BOX 1337
GALLUP, NM 87301
Neurological Surgery
516 E. NIZHONI BLVD
GALLUP, NM 87301

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 Vernon Jaques's NPI number?

The NPI number for Vernon Jaques is 1689746554. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Vernon Jaques located?

Vernon Jaques practices at 516 E. Nizhoni Blvd, Gallup, NM 87301. The listed phone number is (505) 722-1000.

What is Vernon Jaques's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Vernon Jaques enrolled in Medicare?

Yes. Vernon 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.

Is Vernon Jaques affiliated with any hospitals?

According to CMS data, Vernon Jaques is affiliated with Gallup Indian Medical Center.

When was this NPI record last updated?

The NPPES record for Vernon Jaques was last updated on June 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.