Charles Jenson, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

E11478 Issued in AR

Practice address

11321 Interstate 30 Ste 304
Little Rock, AR 72209

Phone

(501) 202-7587

Fax

(501) 202-7513

NPI assigned

May 3, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Loma Linda University School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114
• Baptist Health Medical Center-Hot Springs County Hospital, Malvern, AR, CCN 040076
• Baptist Health Medical Center North Little Rock Hospital, North Little Rock, AR, CCN 040036

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arkansas Health Group

  dba Baptist Health Behavioral Services Clinic

  • Psychiatry Physician
  • Bryant, AR
  • NPI 1871959874
  Medicare reassignment Care Compare group NPD
• Hope and Wellness PLLC

  dba Hope and Wellness Psychiatric Clinic

  • Psychiatry Physician
  • Malvern, AR
  • NPI 1700593183
  Medicare reassignment NPD
• Reding & Leach MD PLLC

  • Psychiatry Physician
  • Little Rock, AR
  • NPI 1245723584
  Medicare reassignment NPD
• Arkansas Health Group

  dba Baptist Health Women's Clinic Arkadelphia

  • Obstetrics & Gynecology Physician
  • Arkadelphia, AR
  • NPI 1720417835
  NPD
• Arkansas Health Group

  dba Baptist Health Surgical Clinic-Stuttgart

  • Surgery Physician
  • Stuttgart, AR
  • NPI 1952840555
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Health

  dba Baptist Health Medical Center-Little Rock

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1043240682
  Care Compare affiliation
• Baptist Health

  dba Baptist Health Medical Center-North Little Rock

  • General Acute Care Hospital
  • North Little Rock, AR
  • NPI 1497790042
  Care Compare affiliation
• Baptist Health

  dba Baptist Health Medical Center- Hot Spring County

  • General Acute Care Hospital
  • Malvern, AR
  • NPI 1902868391
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1285951079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11321 INTERSTATE 30 STE 304",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722097067",
            "telephone_number": "501-202-7587",
            "fax_number": "501-202-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11321 INTERSTATE 30 STE 304",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72209",
            "telephone_number": "501-202-7587",
            "fax_number": "501-202-7513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2210 N Eldorado Ave",
            "address_2": "Klamath Basin Behavioral Health",
            "address_purpose": "LOCATION",
            "city": "Klamath Falls",
            "state": "OR",
            "postal_code": "976016418",
            "country_code": "US",
            "telephone_number": "541-883-1030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSON",
        "first_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-03",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "167272",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E11478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Kathleen Jennings, PT
• M Shane Jennings, M.D.
• Patrick William Jennings, MD
• Hannah Elizabeth Jensen, MS, CF-SLP
• Ashley Sue Jenson, CCC-SLP
• Helen Jeon
• Erik Tyler Jernigan
• Hadden Ava Jernigan
• Michele A Jernigan, NP
• Timothy Jernigan, MHPP

• Psychiatry Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Psychiatry Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.