MR. VERNON THOMAS JAQUES LCSW
NPI 1689746554
Social Worker - Clinical in Gallup, NM
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
Specialties & Licenses
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Vernon Jaques reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gallup, NM 87301
- Reassigned Medicare billing, Texas enrollment
- 618 clinicians in this Medicare group
Dennehotso, AZ 86535
- Reassigned Medicare billing, Texas enrollment
- 215 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.
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, NMPhysician 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.
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.
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.
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.
Which organizations bill Medicare for Vernon Jaques's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vernon Jaques reassigns Medicare benefits to 2 organizations: Dhhs,phs,naihs, Gallup Indian Medical Center (Gallup, NM) and Kayenta Alternative Rural Hospital (Dennehotso, AZ). 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 Vernon Jaques's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Mr. Vernon Thomas Jaques, LCSW · NPI 1689746554
Clinical provider in Gallup, New Mexico. Individual provider, active in the CMS NPPES registry since November 15, 2006.
## Identity
- **NPI:** 1689746554 (Entity type: Individual)
- **Enumerated:** November 15, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** C-10278 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 516 E. NIZHONI BLVD, Gallup, NM 87301-5748
- **Phone:** (505) 722-1000 · **Fax:** (928) 697-4189
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Dhhs,phs,naihs, Gallup Indian Medical Center (NPI 1225002322, Gallup, NM); Kayenta Alternative Rural Hospital (NPI 1821167297, Dennehotso, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1995
## Record status
- **NPPES last updated:** June 10, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1689746554) · Data from the CMS NPPES public registry.