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MR. CHARLES JAY BAWCOM APRN-RNP
NPI 1801419841
Nurse Practitioner - Family in Grand Canyon, AZ

Active since May 26, 2020PECOS EnrolledAccepts Medicare Assignment
1 CLINIC RD # 369, GRAND CANYON, AZ 86023(928) 638-2551(928) 638-2598 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2026, May 26, 2020 (2 updates tracked since 2020).

About Mr. Charles Jay Bawcom Aprn-rnp NPPES

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

MR. CHARLES JAY BAWCOM APRN-RNP (NPI 1801419841) is an individual family provider in Grand Canyon, Arizona, licensed in Arizona (241530) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Los Alamos Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1801419841
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. CHARLES JAY BAWCOMCredential: APRN-RNP
Location Address1 CLINIC RD # 369Grand Canyon, AZ 86023-0290
Mailing AddressPo Box 1231Tucson, AZ 85702-1231 · (520) 670-3909 · Fax (520) 309-2560
Phone(928) 638-2551
Fax(928) 638-2598
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 26, 2020
Last NPPES UpdateApril 21, 20262 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1801419841 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 AZ · 241530
1 CLINIC RD # 369, Grand Canyon, AZ 86023
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, UnitedHealthcare.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 Jay Bawcom Aprn-rnp 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 ID3274957493
PECOS Enrollment IDI20260430000059
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.

Los Alamos Medical Center

Acute Care Hospitals · Los Alamos, NM
OwnershipProprietary
CMS Certification Number320033
Location3917 West RoadLos Alamos, NM 87544 · Los Alamos County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86023 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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 Bawcom's NPI number?

The NPI number for Charles Bawcom is 1801419841. It was assigned to this individual provider in the NPPES registry on May 26, 2020.

Where is Charles Bawcom located?

Charles Bawcom practices at 1 Clinic Rd # 369, Grand Canyon, AZ 86023. The listed phone number is (928) 638-2551.

What is Charles Bawcom's specialty?

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

Is Charles Bawcom enrolled in Medicare?

Yes. Charles Bawcom 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 Charles Bawcom accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Charles Bawcom 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 Charles Bawcom affiliated with any hospitals?

According to CMS data, Charles Bawcom is affiliated with Los Alamos Medical Center.

When was this NPI record last updated?

The NPPES record for Charles Bawcom was last updated on April 21, 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.