MS. CHARDILAINE WHITLOCK FNP-C
NPI 1083342083
Nurse Practitioner - Family in Yreka, CA
About Ms. Chardilaine Whitlock Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. CHARDILAINE WHITLOCK FNP-C (NPI 1083342083) is an individual family provider in Yreka, California, licensed in California (95021542) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Eureka, and is a graduate of University Of California, Davis School Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Chardilaine Whitlock Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Chardilaine Whitlock reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Yreka, CA 96097
- Reassigned Medicare billing, California enrollment
- 140 clinicians in this Medicare group
Palo Cedro, CA 96073
- Reassigned Medicare billing, California enrollment
- 18 clinicians in this Medicare group
Fortuna, CA 95540
- Reassigned Medicare billing, California enrollment
- 4 clinicians in this Medicare group
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 96097 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
YREKA, CA 96097
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Chardilaine Whitlock's NPI number?
The NPI number for Chardilaine Whitlock is 1083342083. It was assigned to this individual provider in the NPPES registry on August 9, 2022.
Where is Chardilaine Whitlock located?
Chardilaine Whitlock practices at 475 Bruce St, Yreka, CA 96097. The listed phone number is (530) 842-4121.
What is Chardilaine Whitlock's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Chardilaine Whitlock enrolled in Medicare?
Yes. Chardilaine Whitlock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Chardilaine Whitlock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chardilaine Whitlock reassigns Medicare benefits to 3 organizations: Siskiyou Hospital, Inc. (Yreka, CA), Gateway Medical Services, Inc. (Palo Cedro, CA) and St. Joseph Health Northern California, LLC (Fortuna, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chardilaine Whitlock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Chardilaine Whitlock was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Chardilaine Whitlock, FNP-C · NPI 1083342083
Family physician in Yreka, California. Individual provider, active in the CMS NPPES registry since August 9, 2022.
## Identity
- **NPI:** 1083342083 (Entity type: Individual)
- **Enumerated:** August 9, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95021542 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 475 BRUCE ST, Yreka, CA 96097-3474
- **Phone:** (530) 842-4121
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Siskiyou Hospital, Inc. (NPI 1093892275, Yreka, CA); Gateway Medical Services, Inc. (NPI 1770993370, Palo Cedro, CA); St. Joseph Health Northern California, LLC (NPI 1043292303, Fortuna, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Davis School Of Medicine, class of 2022
## Record status
- **NPPES last updated:** June 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1083342083) · Data from the CMS NPPES public registry.