Charlene Mae Jaques, APN - Medicare Nurse Practitioner in Farmington, AR

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Charlene Mae Jaques, APN is a medicare enrolled "Nurse Practitioner" physician in Farmington, Arkansas. Her current practice location is 11112 Shumate Crossing Rd, Farmington, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 856-9363.

Charlene Mae Jaques is licensed to practice in Arkansas (license number 229879) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1376373761.

Contact Information

Charlene Mae Jaques, APN
11112 Shumate Crossing Rd,
Farmington, AR 72730-8792
(479) 856-9363
Not Available

Map and Direction




Physician's Profile

Full NameCharlene Mae Jaques
GenderFemale
SpecialityNurse Practitioner
Location11112 Shumate Crossing Rd, Farmington, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376373761
  • Provider Enumeration Date: 08/01/2024
  • Last Update Date: 12/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0143730259
  • Enrollment ID: I20250609001019

Medical Identifiers

Medical identifiers for Charlene Mae Jaques such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376373761NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 229879 (Arkansas)Secondary
363L00000XNurse Practitioner 229879 (Arkansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charlene Mae Jaques is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charlene Mae Jaques, APN
11112 Shumate Crossing Rd,
Farmington, AR 72730-8792

Ph: (479) 856-9363		Charlene Mae Jaques, APN
11112 Shumate Crossing Rd,
Farmington, AR 72730-8792

Ph: (479) 856-9363

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.