SAMUEL HERMAN CHINN PMHNP-BC
NPI 1295699379
Nurse Practitioner - Psychiatric/Mental Health in Tinley Park, IL
About Samuel Herman Chinn Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL HERMAN CHINN PMHNP-BC (NPI 1295699379) is an individual psychiatric/mental health provider in Tinley Park, Illinois, licensed in Illinois (209034181) and active in the NPI registry since December 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Samuel Herman Chinn Pmhnp-bc 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 Reassignment
Medicare enrollment records show Samuel Chinn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Harvey, IL 60426
- Reassigned Medicare billing, Illinois enrollment
- 126 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 60477 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.
TINLEY PARK, IL 60477
TINLEY PARK, IL 60477
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 Samuel Chinn's NPI number?
The NPI number for Samuel Chinn is 1295699379. It was assigned to this individual provider in the NPPES registry on December 12, 2025.
Where is Samuel Chinn located?
Samuel Chinn practices at 6701 159th St, Tinley Park, IL 60477. The listed phone number is (888) 824-0200.
What is Samuel Chinn's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Samuel Chinn enrolled in Medicare?
Yes. Samuel Chinn 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 organization bills Medicare for Samuel Chinn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Chinn reassigns Medicare benefits to Ucm Medical Group Sub, LLC (Harvey, IL). The 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 Samuel Chinn'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 Samuel Chinn was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Samuel Herman Chinn, PMHNP-BC · NPI 1295699379
Psychiatric/Mental Health physician in Tinley Park, Illinois. Individual provider, active in the CMS NPPES registry since December 12, 2025.
## Identity
- **NPI:** 1295699379 (Entity type: Individual)
- **Enumerated:** December 12, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 209034181 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6701 159TH ST, Tinley Park, IL 60477-1758
- **Phone:** (888) 824-0200
## 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:** Ucm Medical Group Sub, LLC (NPI 1467442293, Harvey, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** May 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1295699379) · Data from the CMS NPPES public registry.