DR. MISTIE A CHARLEMAGNE (MD) – Internal Medicine Physician, NPI 1407089436

DR. MISTIE A CHARLEMAGNE (MD) is a healthcare provider. based in Pine bluff, Arkansas. specializing in HOSPITALIST. They hold the professional credentials MD. They hold a License No. MD205733 (LA). The NPI Number for DR. MISTIE A CHARLEMAGNE (MD) is 1407089436

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. MISTIE A CHARLEMAGNE (MD)
NPI
1407089436
Phone
(870) 541-8767
Address
1600 W 40TH AVE
Enumeration Date
25 August 2009
Last Update Date
29 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8705418767
Graduation Year
2009 (17 years ago)
PAC ID
0345482204
Group Practice PAC ID
8123927431
Professional Enrollment ID
I20180301000222
Address ID
AR716036301PI1600XAVEX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:16State licenses:2Digital endpointsOther names

221 HOSPITALIST in AR

Provider Addresses for DR. MISTIE A CHARLEMAGNE (MD)

  • 1600 W 40TH AVE

    PINE BLUFF, AR 716036301

    Phone: (870) 541-8767

    Fax: (870) 541-8761

    Type: Location

  • 4800 E Johnson Ave

    Jonesboro, AR 724018413

    Phone: (870) 936-8000

    Fax: (870) 936-2038

    Type: Location

  • Jonesboro Post Office, West Broad Street, Jonesboro, Union County, Illinois, 62952, United States

    JONESBORO, AR 724031960

    Phone: (870) 936-8000

    Fax: (870) 936-2038

    Type: Mailing

  • NEA Baptist Memorial Hospital, 4800, East Johnson Avenue, Jonesboro, Craighead County, Arkansas, 72401, United States

    JONESBORO, AR 724018413

    Phone: (870) 936-8000

    Fax: (870) 936-2038

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $36.

Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.

Last reported payment date: 2024-04-16 • Largest payer in this snapshot: Genentech USA, Inc. ($20).

Total Amount

$36

General + Research + Ownership

Payments

2

Total payment records

General Amount

$36

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-03-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20180301000222IHospitalistARTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes378150$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes16572$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes162146$0
99239Hospital discharge day management, more than 30 minutes9591$0
99291Critical care, first 30-74 minutes4735$0
View full utilization report →

Insurance plans in this area (ZIP 71603)

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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: 8123927431View full group profile
NameSpecialtyState
Family PracticeAR
R H E U M A T O L O G YAR
Orthopedic SurgeryAR
N E P H R O L O G YAR
Vascular Surgery, General Surgery, Thoracic SurgeryAR
Family PracticeAR
Internal MedicineWI
Interventional Cardiology, Internal MedicineFL
Family PracticeAR
Nurse PractitionerAR

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. MISTIE A CHARLEMAGNE (MD)?
DR. MISTIE A CHARLEMAGNE (MD) — NPI 1407089436 — is the standard way to identify this listing.
Is DR. MISTIE A CHARLEMAGNE (MD) listed as active for patients and plans?
The listing shows DR. MISTIE A CHARLEMAGNE (MD) as active in the NPI system.
What is DR. MISTIE A CHARLEMAGNE (MD)'s specialty?
The listing groups DR. MISTIE A CHARLEMAGNE (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. MISTIE A CHARLEMAGNE (MD) on a map?
Expect Pine Bluff, Arkansas as a primary anchor for DR. MISTIE A CHARLEMAGNE (MD) unless the record lists multiple sites.
Is the information about DR. MISTIE A CHARLEMAGNE (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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