SAMUEL HERMAN CHINN PMHNP-BC
NPI 1295699379
Nurse Practitioner - Psychiatric/Mental Health in Tinley Park, IL

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

Active since December 12, 2025PECOS Enrolled

6701 159TH ST, TINLEY PARK, IL 60477(888) 824-0200 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 19, 2026, Dec 12, 2025 (2 updates tracked since 2025).

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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

NPI1295699379

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameSAMUEL HERMAN CHINNCredential: PMHNP-BC

Location Address6701 159TH STTinley Park, IL 60477-1758

Mailing Address6701 159th St Ste 2Tinley Park, IL 60477-1758 · (708) 798-9465

Phone(888) 824-0200

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateDecember 12, 2025

Last NPPES UpdateMay 19, 20262 updates tracked since enumeration

NPPES CertifiedMay 19, 2026

✔ NPI 1295699379 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 IL · 209034181

6701 159TH ST, Tinley Park, IL 60477

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Herman Chinn Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133699556

PECOS Enrollment IDI20260527002692

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 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.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.