MR. CHARLES GOTHARD APRN
NPI 1801373824
Nurse Practitioner - Family in Jonesboro, AR

Q: What is Charles Gothard's NPI number?

The NPI number for Charles Gothard is 1801373824. It was assigned to this individual provider in the NPPES registry on July 23, 2018.

Q: What is Charles Gothard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Gothard was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since July 23, 2018PECOS EnrolledAccepts Medicare Assignment

416 E WASHINGTON AVE, JONESBORO, AR 72401(870) 333-5476(870) 333-5475 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2026, Jul 23, 2018 (2 updates tracked since 2018).

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About Mr. Charles Gothard Aprn NPPES

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

MR. CHARLES GOTHARD APRN (NPI 1801373824) is an individual family provider in Jonesboro, Arkansas, licensed in Arkansas (A005795) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Jonesboro, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1801373824

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. CHARLES GOTHARDCredential: APRN

Location Address416 E WASHINGTON AVEJonesboro, AR 72401-3156

Mailing AddressPo Box 497Augusta, AR 72006-0497 · (870) 347-2534

Phone(870) 333-5476

Fax(870) 333-5475

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJuly 23, 2018

Last NPPES UpdateApril 23, 20262 updates tracked since enumeration

NPPES CertifiedApril 23, 2026

✔ NPI 1801373824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AR · A005795

416 E WASHINGTON AVE, Jonesboro, AR 72401

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Secondary Practice Location 1

Location 12816 Fox Meadow LnJonesboro, AR 72404-9346 · Phone (870) 336-1676 · Fax (870) 336-1679

Other Identifiers 1

Medicaid229193758AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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

Mr. Charles Gothard Aprn 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 ID2860740651

PECOS Enrollment IDI20180810001228

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72401 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers23 claims23 services$184.91 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 20

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

DENISSE HALFORD RDN

Dietitian, Registered