MR. JERRIN CHACKO PMHNP
NPI 1104593169
Nurse Practitioner - Psychiatric/Mental Health in Richmond Hill, NY

Active since August 26, 2021PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
8900 VAN WYCK EXPY, RICHMOND HILL, NY 11418(718) 206-6000 Get Directions Write a Review

NPPES record last updated: August 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Jerrin Chacko Pmhnp NPPES

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

MR. JERRIN CHACKO PMHNP (NPI 1104593169) is an individual psychiatric/mental health provider in Richmond Hill, New York, licensed in New York (403669) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1104593169
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. JERRIN CHACKOCredential: PMHNP
Location Address8900 VAN WYCK EXPYRichmond Hill, NY 11418-2832
Mailing Address8624 Musket StQueens Village, NY 11427-2718
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 26, 2021
NPPES CertifiedAugust 26, 2021
NPI 1104593169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NY · 403669
8900 VAN WYCK EXPY, Richmond Hill, NY 11418

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Jerrin Chacko Pmhnp 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.

PECOS PAC ID7618359894
PECOS Enrollment IDI20220804001402
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
85 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11418 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Neurological Surgery
8900 VAN WYCK EXPY
RICHMOND HILL, NY 11418
Obstetrics & Gynecology
8900 VAN WYCK EXPY
RICHMOND HILL, NY 11418
Internal Medicine (Pulmonary Disease)
8900 VAN WYCK EXPY
RICHMOND HILL, NY 11418
Internal Medicine (Pulmonary Disease)
8900 VAN WYCK EXPY
RICHMOND HILL, NY 11418
Student in an Organized Health Care Education/Training Program
8900 VAN WYCK EXPY
RICHMOND HILL, NY 11418
Student in an Organized Health Care Education/Training Program
8900 VAN WYCK EXPY
JAMAICA, NY 11418
Student in an Organized Health Care Education/Training Program
8900 VAN WYCK EXPY
JAMAICA, NY 11418
Emergency Medicine
8900 VAN WYCK EXPY
JAMAICA, NY 11418

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 Jerrin Chacko's NPI number?

The NPI number for Jerrin Chacko is 1104593169. It was assigned to this individual provider in the NPPES registry on August 26, 2021.

Where is Jerrin Chacko located?

Jerrin Chacko practices at 8900 Van Wyck Expy, Richmond Hill, NY 11418. The listed phone number is (718) 206-6000.

What is Jerrin Chacko's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jerrin Chacko enrolled in Medicare?

Yes. Jerrin Chacko 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.

What insurance does Jerrin Chacko accept?

Health plans from Providence Health Plan list Jerrin Chacko as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jerrin Chacko was last updated on August 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.