DR. JENELL CHARESE SMITH WADE (MD) – Emergency Medicine Physician, NPI 1205084597

DR. JENELL CHARESE SMITH WADE (MD) is a healthcare provider. based in Jonesboro, Arkansas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. E-8314 (AR). The NPI Number for DR. JENELL CHARESE SMITH WADE (MD) is 1205084597

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENELL CHARESE SMITH WADE (MD)
NPI
1205084597
Phone
(870) 207-5200
Address
225 E JACKSON AVE
Enumeration Date
29 August 2008
Last Update Date
7 May 2024

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
8776080044
Graduation Year
2008 (18 years ago)
PAC ID
0648490110
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20240710002454
Address ID
CA925632432MU28150RDXX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

1,499 FAMILY PRACTICE in AR

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Provider Addresses for DR. JENELL CHARESE SMITH WADE (MD)

  • 225, East Jackson Avenue, Jonesboro, Craighead County, Arkansas, 72401, United States

    JONESBORO, AR 724013119

    Phone: (870) 207-5200

    Fax: (310) 933-1474

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141003001784IEmergency MedicineARTBD
I20240710002454IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only111103$0
99285Emergency department visit with high level of medical decision making106101$0
99284Emergency department visit with moderate level of medical decision making4241$0
99283Emergency department visit with low level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 72401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JENELL CHARESE SMITH WADE (MD)?
DR. JENELL CHARESE SMITH WADE (MD) — NPI 1205084597 — is the standard way to identify this listing.
Is DR. JENELL CHARESE SMITH WADE (MD) still practicing?
DR. JENELL CHARESE SMITH WADE (MD) is currently listed as active in the public NPI registry.
What healthcare role does DR. JENELL CHARESE SMITH WADE (MD) hold?
Scheduling teams often label DR. JENELL CHARESE SMITH WADE (MD) under Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JENELL CHARESE SMITH WADE (MD)?
DR. JENELL CHARESE SMITH WADE (MD)'s geographic hint is Jonesboro, Arkansas in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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