Nicole Chrisman, in Chandler, AZ - Medicare Nurse Practitioner

Nicole Chrisman, is a medicare enrolled "Nurse Practitioner" in Chandler, Arizona. Her current practice location is 2201 W Fairview St Ste 9, Chandler, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 470-4000.

Nicole Chrisman is licensed to practice in Arizona (license number 300419) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1669198859.

Contact Information

	Nicole Chrisman,
	2201 W Fairview St Ste 9, Chandler, AZ 85224-4704
	(480) 470-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicole Chrisman
Gender	Female
Speciality	Nurse Practitioner
Location	2201 W Fairview St Ste 9, Chandler, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669198859
Provider Enumeration Date: 10/18/2022
Last Update Date: 02/28/2025

Medicare PECOS Information:

PECOS PAC ID: 7416327127
Enrollment ID: I20221221000613

Medical Identifiers

Medical identifiers for Nicole Chrisman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669198859	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	10002261 (Oregon)	Secondary
363L00000X	Nurse Practitioner	300419 (Arizona)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Chrisman allows following entities to bill medicare on her behalf.

Entity Name	Gastroenterology Consultants Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639104136 PECOS PAC ID: 4789670506 Enrollment ID: O20040426000248

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Chrisman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicole Chrisman, 2201 W Fairview St Ste 9, Chandler, AZ 85224-4704 Ph: (480) 470-4000	Nicole Chrisman, 2201 W Fairview St Ste 9, Chandler, AZ 85224-4704 Ph: (480) 470-4000

Reviews and Comments

Nurse Practitioner Nurses in Chandler, AZ

Ms. Jennifer Ann Green, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3887 S Soho Ln, Chandler, AZ 85286 Phone: 602-327-6641
Terry L Horine, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2971 W Elliot Rd Ste 1, Chandler, AZ 85224 Phone: 480-733-5483
Mrs. Lois Maria Henderson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1076 W Chandler Blvd, Suite 113, Chandler, AZ 85224 Phone: 480-963-9334
Jo Ann Owen Gott, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 715 N Cholla St, Chandler, AZ 85224 Phone: 480-203-1046
Saralyn Heddleston, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 485 S Dobson Rd Ste 201, Chandler, AZ 85224 Phone: 480-728-4700 Fax: 480-728-4747
Ms. Amber Pena Posey, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2470 W Ray Rd Ste 4, Chandler, AZ 85224 Phone: 480-245-7385 Fax: 480-207-6053
Ms. Jerwonna Glover, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3008 N Dobson Rd Ste 2, Chandler, AZ 85224 Phone: 480-496-2699

Nicole Chrisman, - Medicare Nurse Practitioner in Chandler, AZ