DR. JESSE WADE CHARLES (M.D.) – Family Medicine Physician, NPI 1104168434

DR. JESSE WADE CHARLES (M.D.) is a healthcare provider. based in Wenatchee, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD60785972 (WA). The NPI Number for DR. JESSE WADE CHARLES (M.D.) is 1104168434

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. JESSE WADE CHARLES (M.D.)
NPI
1104168434
Phone
(509) 663-8711
Address
820 N CHELAN AVE
Enumeration Date
25 March 2013
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
4062584789
Graduation Year
2013 (13 years ago)
PAC ID
6709151624
Group Practice PAC ID
6103843479
Professional Enrollment ID
I20171003006293
Address ID
MT598024123MI323XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

Provider Addresses for DR. JESSE WADE CHARLES (M.D.)

  • 820 N CHELAN AVE

    WENATCHEE, WA 988012028

    Phone: (509) 663-8711

    Type: Mailing

  • 1116 HWY 20

    WINTHROP, WA 98862

    Phone: (509) 663-8711

    Type: Location

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: 2024-04-23

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
I20171003006293IFamily PracticeWATBD
I20240423002205IFamily PracticeMTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes309188$0
36415Insertion of needle into vein for collection of blood sample190156$0
99213Established patient office or other outpatient visit, 20-29 minutes140103$0
G0008Administration of influenza virus vaccine8281$0
90662Influenza vaccine split virus, preservative free8180$0
View full utilization report →

Insurance plans in this area (ZIP 98801)

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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: 6103843479View full group profile
NameSpecialtyState
Clinical PsychologistMT
-MT
-WI
Nurse PractitionerCA
Family Practice, Obstetrics/GynecologyCO
-MT
Clinical Social WorkerMT
Clinical Social WorkerMT
Physician AssistantMT
Clinical Social WorkerMT

Reviews

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Frequently asked questions

What federal number belongs to DR. JESSE WADE CHARLES (M.D.)?
The federal identifier for DR. JESSE WADE CHARLES (M.D.) is NPI 1104168434.
Is DR. JESSE WADE CHARLES (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. JESSE WADE CHARLES (M.D.)?
The page reflects Family Medicine Physician for DR. JESSE WADE CHARLES (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. JESSE WADE CHARLES (M.D.)?
The snapshot lists Wenatchee, Washington for DR. JESSE WADE CHARLES (M.D.); download NPPES for the complete set.
How can I contact DR. JESSE WADE CHARLES (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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