TINA CHANDLER FNP
NPI 1164153979
Nurse Practitioner - Family in Florence, MS

Active since June 22, 2022PECOS EnrolledAccepts Medicare Assignment
125 EARL CLARK DR, FLORENCE, MS 39073(601) 891-8657(949) 561-5551 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tina Chandler Fnp NPPES

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

TINA CHANDLER FNP (NPI 1164153979) is an individual family provider in Florence, Mississippi, licensed in Mississippi (905384) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Merit Health Women's Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1164153979
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTINA CHANDLERCredential: FNP
Location Address125 EARL CLARK DRFlorence, MS 39073-6605
Mailing Address125 Earl Clark DrFlorence, MS 39073-6605 · (601) 891-8657 · Fax (949) 561-5551
Fax(949) 561-5551
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 22, 2022
Last NPPES UpdateMay 14, 2025
NPPES CertifiedMay 14, 2025
✔ NPI 1164153979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · 905384
125 EARL CLARK DR, Florence, MS 39073

Accepted Insurance

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

Tina Chandler Fnp 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 ID5294117032
PECOS Enrollment IDI20220727000077
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

3

Medicare enrollment records show Tina Chandler reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family
2785 HIGHWAY 49 S STE B
Florence, MS 39073
  • Reassigned Medicare billing, Mississippi enrollment
  • 7 clinicians in this Medicare group
Vascular Surgery
204 W JACKSON ST STE A
Ridgeland, MS 39157
  • Reassigned Medicare billing, Mississippi enrollment
  • 11 clinicians in this Medicare group
Plastic and Reconstructive Surgery
160 FOUNTAINS BLVD, SUITE B
Madison, MS 39110
  • Reassigned Medicare billing, Mississippi enrollment
  • 7 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Merit Health Women's Hospital

Acute Care Hospitals · Flowood, MS
OwnershipProprietary
CMS Certification Number250136
Location1026 River Oaks DriveFlowood, MS 39232 · Rankin County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39073 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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

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

Nurse Practitioner (Family)
125 EARL CLARK DR
FLORENCE, MS 39073

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 Tina Chandler's NPI number?

The NPI number for Tina Chandler is 1164153979. It was assigned to this individual provider in the NPPES registry on June 22, 2022.

Where is Tina Chandler located?

Tina Chandler practices at 125 Earl Clark Dr, Florence, MS 39073. The listed phone number is (601) 891-8657.

What is Tina Chandler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tina Chandler enrolled in Medicare?

Yes. Tina Chandler 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 Tina Chandler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tina Chandler reassigns Medicare benefits to 3 organizations: Southern Diabetes Care, PLLC (Florence, MS), Best Vein Care Of Mississippi, LLC (Ridgeland, MS) and Mississippi Premier Plastic Surgery, PLLC (Madison, MS). 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 Tina Chandler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tina Chandler accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Tina Chandler 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.

Is Tina Chandler affiliated with any hospitals?

According to CMS data, Tina Chandler is affiliated with Merit Health Women's Hospital.

When was this NPI record last updated?

The NPPES record for Tina Chandler was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.