PATRICIA E. CHISUM FNP-C
NPI 1164470266
Nurse Practitioner - Family in Jacksonville, NC

Q: What is Patricia Chisum's NPI number?

The NPI number for Patricia Chisum is 1164470266. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Q: What is Patricia Chisum's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Patricia Chisum was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since May 04, 2006PECOS Enrolled

461 WESTERN BLVD STE 122, JACKSONVILLE, NC 28546(910) 333-0283(910) 333-0513 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2025, Apr 4, 2025, Jul 23, 2019 (3 updates tracked since 2019).

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About Patricia E. Chisum Fnp-c NPPES

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

PATRICIA E. CHISUM FNP-C (NPI 1164470266) is an individual family provider in Jacksonville, North Carolina, licensed in North Carolina (5003247) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164470266

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NamePATRICIA E. CHISUMCredential: FNP-C

Location Address461 WESTERN BLVD STE 122Jacksonville, NC 28546-7637

Mailing Address461 Western Blvd Ste 122Jacksonville, NC 28546-7637 · (910) 333-0283 · Fax (910) 333-0513

Phone(910) 333-0283

Fax(910) 333-0513

Sole ProprietorNo

Enumeration DateMay 4, 2006

Last NPPES UpdateNovember 4, 20253 updates tracked since enumeration

NPPES CertifiedNovember 4, 2025

✔ NPI 1164470266 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 NC · 5003247

461 WESTERN BLVD STE 122, Jacksonville, NC 28546

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patricia E. Chisum Fnp-c 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.

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.

MRS. ZOEY BARTON SHIFFLETT DNP, FNP-C

Nurse Practitioner (Family)