MRS. JAEL CHARLENE WYATT (PA-C) – Physician Assistant, NPI 1467041400

MRS. JAEL CHARLENE WYATT (PA-C) is a healthcare provider. based in College station, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA14206 (TX). The NPI Number for MRS. JAEL CHARLENE WYATT (PA-C) is 1467041400

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JAEL CHARLENE WYATT (PA-C)
NPI
1467041400
Phone
(979) 207-0100
Address
700 SCOTT AND WHITE DR
Enumeration Date
14 January 2021
Last Update Date
8 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9792073636
Graduation Year
2020 (6 years ago)
PAC ID
2668887548
Group Practice PAC ID
8123923604
Professional Enrollment ID
I20210301000082
Address ID
TX778402661CO1700X16XX603

Contacts

Secure Messaging
jwilliams614077@direct.sw.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for MRS. JAEL CHARLENE WYATT (PA-C)

  • 700 SCOTT AND WHITE DR

    COLLEGE STATION, TX 778456441

    Phone: (979) 207-0100

    Type: Location

  • 1100 W REYNOSA AVE

    DE LEON, TX 764441630

    Phone: (254) 893-5895

    Type: Mailing

  • 3804 HIGHWAY 377 S

    BROWNWOOD, TX 768015120

    Phone: (325) 643-5167

    Type: Location

  • PO BOX 844658

    DALLAS, TX 752844658

    Phone: (800) 994-0371

    Type: Mailing

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: 2021-03-01

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
I20210301000082IPhysician AssistantTXTBD

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
99284Emergency department visit with moderate level of medical decision making4444$0
99285Emergency department visit with high level of medical decision making3333$0
99291Critical care, first 30-74 minutes1212$0
99283Emergency department visit with low level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 77845)

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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: 8123923604View full group profile
NameSpecialtyState
Radiation OncologyTX
U R O L O G YTX
General SurgeryOK
Certified Registered Nurse Anesthetist (Crna)TX
-TX
Anesthesiology AssistantTX
-TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX

Reviews

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Frequently asked questions

Is MRS. JAEL CHARLENE WYATT (PA-C) listed with a National Provider Identifier?
Yes — MRS. JAEL CHARLENE WYATT (PA-C) has NPI 1467041400 on file in the registry.
Would MRS. JAEL CHARLENE WYATT (PA-C) appear as active to a payer?
You can treat MRS. JAEL CHARLENE WYATT (PA-C) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MRS. JAEL CHARLENE WYATT (PA-C)?
MRS. JAEL CHARLENE WYATT (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. JAEL CHARLENE WYATT (PA-C)?
Directory geography for MRS. JAEL CHARLENE WYATT (PA-C) centers on College Station, Texas.
When was this NPI issued?
Enumeration for MRS. JAEL CHARLENE WYATT (PA-C) is noted as January 14, 2021 where the registry provides it.

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