MS. CHALICE ANN ADDIS FNP-BC
NPI 1306359146
Nurse Practitioner - Family in Lakeport, CA

Q: What is Chalice Addis's NPI number?

The NPI number for Chalice Addis is 1306359146. It was assigned to this individual provider in the NPPES registry on November 15, 2017.

Q: What is Chalice Addis'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 Chalice Addis was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 November 15, 2017PECOS Enrolled

82.37/100

CMS Quality Rating

925 BEVINS CT, LAKEPORT, CA 95453(707) 263-8382(707) 263-1909 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Ms. Chalice Ann Addis Fnp-bc NPPES

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

MS. CHALICE ANN ADDIS FNP-BC (NPI 1306359146) is an individual family provider in Lakeport, California, licensed in California (NP95007969) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1306359146

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. CHALICE ANN ADDISCredential: FNP-BC

Location Address925 BEVINS CTLakeport, CA 95453-9754

Mailing AddressPo Box 1950Lakeport, CA 95453-1950 · (707) 263-8382 · Fax (707) 263-1909

Phone(707) 263-8382

Fax(707) 263-1909

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateNovember 15, 2017

Last NPPES UpdateAugust 1, 2025

NPPES CertifiedAugust 1, 2025

✔ NPI 1306359146 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 CA · NP95007969

925 BEVINS CT, Lakeport, CA 95453

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Chalice Ann Addis Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527325695

PECOS Enrollment IDI20171127003137

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

Medicare enrollment records show Chalice Addis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lake County Tribal Health Consortium Inc.

Same address

Federally Qualified Health Center (FQHC)

925 BEVINS CT
Lakeport, CA 95453

Reassigned Medicare billing, California enrollment
59 clinicians in this Medicare group

NPI 1881697381 (707) 263-8382

Sutter Bay Hospitals

4.8 mi

Rural Health

5176 HILL RD E
Lakeport, CA 95453

Reassigned Medicare billing, California enrollment
132 clinicians in this Medicare group

NPI 1770816829 (707) 262-5000

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 95453 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.37/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

84.58

Promoting Interoperability

100

Improvement Activities

Cost

30.78

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers64 claims139 services$6.32 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers18 claims23 services$1.14 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier23 claims23 services$7.44 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers25 claims25 services$100.15 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

5 suppliers12 claims1,410 services$0.10 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

6 suppliers23 claims23 services$184.56 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MERRILL FEATHERSTONE MFC

Counselor (Mental Health)