JAY H. CHARLES (PA-C) – Physician Assistant, NPI 1861494270

JAY H. CHARLES (PA-C) is a healthcare provider. based in Elk river, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. AMD-647 (HI). The NPI Number for JAY H. CHARLES (PA-C) is 1861494270

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
JAY H. CHARLES (PA-C)
NPI
1861494270
Phone
(763) 587-4800
Address
530 3RD ST NW
Enumeration Date
15 August 2005
Last Update Date
26 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1988 (38 years ago)
PAC ID
5193882579
Group Practice PAC ID
5890699037
Professional Enrollment ID
I20160407000472
Address ID
HI967787720PA15XXXRDXX500

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

4,031 PHYSICIAN ASSISTANT in MN

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Provider Addresses for JAY H. CHARLES (PA-C)

  • 530, 3rd Street Northwest, Elk River, Sherburne County, Minnesota, 55330, United States

    ELK RIVER, MN 553301445

    Phone: (763) 587-4800

    Fax: (763) 587-4885

    Type: Mailing

  • 1292 WAIANUENUE AVE

    HILO, HI 967201228

    Phone: (808) 934-4000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $282.

Total Amount is formed as General ($282) + Research ($0) + Ownership ($0) = $282.

Last reported payment date: 2024-01-23 • Largest payer in this snapshot: Incyte Corporation ($178).

Total Amount

$282

General + Research + Ownership

Payments

3

Total payment records

General Amount

$282

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-23

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: 2016-04-07

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
I20160407000472IPhysician AssistantHITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3929$0
View full utilization report →

Insurance plans in this area (ZIP 55330)

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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: 5890699037View full group profile
NameSpecialtyState
-HI
Family PracticeCO
Nurse PractitionerHI
Certified Nurse Midwife (Cnm)GA
Nurse PractitionerHI
Clinical Social WorkerHI
O B S T E T R I C S/ G Y N E C O L O G YHI
Physician AssistantIA
Physician AssistantHI
-HI

Reviews

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Frequently asked questions

What unique ID ties claims to JAY H. CHARLES (PA-C)?
NPI 1861494270 is assigned to JAY H. CHARLES (PA-C) under the national enumeration system.
Is JAY H. CHARLES (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does JAY H. CHARLES (PA-C) work in?
You can think of JAY H. CHARLES (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location shows for JAY H. CHARLES (PA-C)?
We surface Elk River, Minnesota for JAY H. CHARLES (PA-C) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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