DR. EVGENIYA NIKOLAEVNA CHISENHALL M.D.
NPI 1083060545
Pediatrics in Jacksonville, NC

Q: What is Evgeniya Chisenhall's NPI number?

The NPI number for Evgeniya Chisenhall is 1083060545. It was assigned to this individual provider in the NPPES registry on May 13, 2016.

Q: What is Evgeniya Chisenhall's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since May 13, 2016PECOS Enrolled

120 MEMORIAL DR, JACKSONVILLE, NC 28546(910) 353-0581(910) 577-1150 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 3, 2023, May 1, 2023, Feb 4, 2020 and 1 more (4 updates tracked since 2016).

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About Dr. Evgeniya Nikolaevna Chisenhall M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EVGENIYA NIKOLAEVNA CHISENHALL M.D. (NPI 1083060545) is an individual pediatrics provider in Jacksonville, North Carolina, licensed in North Carolina (2019-02047) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083060545

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. EVGENIYA NIKOLAEVNA CHISENHALLCredential: M.D.

Location Address120 MEMORIAL DRJacksonville, NC 28546

Mailing AddressPo Box 986513, Dept 100Boston, MA 02298-6513 · (910) 219-8326 · Fax (910) 939-4269

Phone(910) 353-0581

Fax(910) 577-1150

Sole ProprietorNo

Enumeration DateMay 13, 2016

Last NPPES UpdateNovember 3, 20234 updates tracked since enumeration

NPPES CertifiedNovember 3, 2023

✔ NPI 1083060545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NC · 2019-02047

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

120 MEMORIAL DR, Jacksonville, NC 28546

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Secondary Practice Locations 2

Location 12100 Stantonsburg RdGreenville, NC 27834-2818 · Phone (252) 744-2335 · Fax (252) 744-3811

Location 2118 Memorial DrJacksonville, NC 28546 · Phone (910) 353-0581 · Fax (910) 353-1351

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Evgeniya Nikolaevna Chisenhall M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Evgeniya Chisenhall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jacksonville Children's And Multispecialty Clinic, PA

Same address

Family Medicine

118 MEMORIAL DR
Jacksonville, NC 28546

Reassigned Medicare billing, North Carolina enrollment
61 clinicians in this Medicare group

NPI 1164519070 (910) 353-0581

Columbus Regional Health Network

80 mi

Orthopaedic Surgery

701 JEFFERSON ST
Whiteville, NC 28472

Reassigned Medicare billing, North Carolina enrollment
216 clinicians in this Medicare group

NPI 1790224962 (910) 641-8625

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUGTA KAHAI MD

Pediatrics