DR. CHARDONNAY VANCE MD PHD
NPI 1164834347
Obstetrics & Gynecology - Obstetrics in White Salmon, WA
About Dr. Chardonnay Vance Md Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CHARDONNAY VANCE MD PHD (NPI 1164834347) is an individual obstetrics provider in White Salmon, Washington, licensed in Oregon (MD181361) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Chardonnay Vance Md Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Chardonnay Vance reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hood River, OR 97031
- Reassigned Medicare billing, Oregon enrollment
- 11 clinicians in this Medicare group
Boca Raton, FL 33487
- Reassigned Medicare billing, Kentucky, Michigan, Tennessee and West Virginia enrollments
- Medicare enrollment name: Glutality Provider Group PA
- 17 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 98672 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WHITE SALMON, WA 98672
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 Chardonnay Vance's NPI number?
The NPI number for Chardonnay Vance is 1164834347. It was assigned to this individual provider in the NPPES registry on May 22, 2014.
Where is Chardonnay Vance located?
Chardonnay Vance practices at 181 W Jewett Blvd, White Salmon, WA 98672. The listed phone number is (509) 289-2119.
What is Chardonnay Vance's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.
Is Chardonnay Vance enrolled in Medicare?
Yes. Chardonnay Vance is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Chardonnay Vance's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chardonnay Vance reassigns Medicare benefits to 2 organizations: Summit Family Medicine - LLC (Hood River, OR) and Glutality Provider Group, P.A. (Boca Raton, FL). 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 Chardonnay Vance's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Chardonnay Vance accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas and Providence Health Plan list Chardonnay Vance 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 Chardonnay Vance was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Chardonnay Vance, MD PHD · NPI 1164834347
Obstetrics physician in White Salmon, Washington. Individual provider, active in the CMS NPPES registry since May 22, 2014.
## Identity
- **NPI:** 1164834347 (Entity type: Individual)
- **Enumerated:** May 22, 2014
- **Primary specialty:** Obstetrics & Gynecology - Obstetrics · taxonomy 207VX0000X
- **State license:** MD181361 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 181 W JEWETT BLVD, White Salmon, WA 98672-8974
- **Phone:** (509) 289-2119
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Summit Family Medicine - LLC (NPI 1811157902, Hood River, OR); Glutality Provider Group, P.A. (NPI 1083256168, Boca Raton, FL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 13, 2023
- **Other identifiers:** Medicaid 2080300 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1164834347) · Data from the CMS NPPES public registry.