Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHARLES ELDRIDGE III PMHNP
NPI 1871162206
Nurse Practitioner - Psychiatric/Mental Health in Springfield, MO

Q: What is Charles Eldridge's NPI number?

The NPI number for Charles Eldridge is 1871162206. It was assigned to this individual provider in the NPPES registry on June 21, 2021.

Q: What is Charles Eldridge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Charles Eldridge was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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 June 21, 2021PECOS EnrolledAccepts Medicare Assignment

98.13/100

CMS Quality Rating

3600 S NATIONAL AVE, SPRINGFIELD, MO 65807(417) 322-6622(417) 350-1935 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 30, 2026, Jan 24, 2023, Dec 23, 2022 and 3 more (6 updates tracked since 2021).

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About Charles Eldridge Iii Pmhnp NPPES

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

CHARLES ELDRIDGE III PMHNP (NPI 1871162206) is an individual psychiatric/mental health provider in Springfield, Missouri, licensed in Missouri (2021022694) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1871162206

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameCHARLES ELDRIDGE IIICredential: PMHNP

Location Address3600 S NATIONAL AVESpringfield, MO 65807-7311

Mailing Address3600 S National AveSpringfield, MO 65807-7311 · (417) 322-6622 · Fax (417) 350-1935

Phone(417) 322-6622

Fax(417) 350-1935

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJune 21, 2021

Last NPPES UpdateSeptember 30, 20266 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2026

✔ NPI 1871162206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in MO · 2021022694✔ Licensed in AR · 218639

3600 S NATIONAL AVE, Springfield, MO 65807

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Secondary Practice Locations 4

Location 15548 N Farmer Branch RdOzark, MO 65721-5315 · Phone (417) 322-6622 · Fax (417) 350-1935

Location 22005 W Elm StRogers, AR 72758-4018 · Phone (479) 427-7722 · Fax (479) 427-7721

Location 32000 S Promenade Blvd Ste 202Rogers, AR 72758-8609 · Phone (479) 427-7722 · Fax (479) 427-7721

Location 41505 E Bradford PkwySpringfield, MO 65804-6566 · Phone (417) 322-6622 · Fax (417) 350-1935

Other Identifiers 2

Medicaid420097472MO

Medicaid281907758AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

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

Charles Eldridge Iii Pmhnp 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 ID7113328857

PECOS Enrollment IDI20210712000273, I20220422001762

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.

Medicare Billing Reassignment

Medicare enrollment records show Charles Eldridge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Honour Brite LLC

Same address

Multi-Specialty

3600 S NATIONAL AVE
Springfield, MO 65807

Reassigned Medicare billing, Arkansas and Missouri enrollments
13 clinicians in this Medicare group

NPI 1548760820 (417) 322-6622

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

372 services94 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

351 services95 patients

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

121 services58 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

34 services20 patients

Psychiatric services complicated by communication factor 90785

Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.

19 services12 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

Wynn Hospital

Acute Care Hospitals · Utica, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330044

Location111 Hospital DriveUtica, NY 13502 · Oneida County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65807 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

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.

98.13/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

77.1

Promoting Interoperability

100

Improvement Activities

Cost

100

Other Providers at the Same Location NPPES 17

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

JAMES DARIN CARPENTER LPC

Counselor (Professional)