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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KASSIDY CHISM FNP-C
NPI 1326838079
Nurse Practitioner - Family in Roswell, NM

Active since May 07, 2025PECOS Enrolled
813 N WASHINGTON AVE, ROSWELL, NM 88201(575) 622-2606 Get Directions Write a Review

NPPES record last updated: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 26, 2026, Oct 9, 2026, May 7, 2025 (3 updates tracked since 2025).

About Kassidy Chism Fnp-c NPPES

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

KASSIDY CHISM FNP-C (NPI 1326838079) is an individual family provider in Roswell, New Mexico, licensed in Colorado (APN.1000816-NP) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Denver.

NPPES Registry Identity

NPI1326838079
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKASSIDY CHISMCredential: FNP-C
Location Address813 N WASHINGTON AVERoswell, NM 88201-3999
Mailing Address925 N Lincoln St Apt 15aDenver, CO 80203-2768 · (720) 500-5488 · Fax (866) 880-7184
Phone(575) 622-2606
Sole ProprietorNo
Enumeration DateMay 7, 2025
Last NPPES UpdateOctober 26, 20263 updates tracked since enumeration
NPPES CertifiedOctober 26, 2026
✔ NPI 1326838079 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 CO · APN.1000816-NP
813 N WASHINGTON AVE, Roswell, NM 88201
Open in Google Maps ↗

Secondary Practice Location 1

Location 1925 N Lincoln St Apt 15ADenver, CO 80203-2768 · Phone (720) 500-5488 · Fax (866) 880-7184

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kassidy Chism 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 88201 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ABELARDO GARCIA M.D.
Pediatrics
813 N WASHINGTON AVE
ROSWELL, NM 88201
Chaves County (575) 622-2606
CYNTHIA AMAYA CPNP-PC
Pediatrics
813 N WASHINGTON AVE
ROSWELL, NM 88201
Chaves County (575) 622-2606
DR. MICHAEL PAUL MARQUARDT M.D.
Pediatrics
813 N WASHINGTON AVE
ROSWELL, NM 88201
Chaves County (575) 622-2606
DR. WILLIAM GEORGE LIAKOS JR. M.D.
Pediatrics
813 N WASHINGTON AVE
ROSWELL, NM 88201
Chaves County (575) 622-2606
DR. MARGARITA RELOZA MACIAS M.D.
Pediatrics
813 N WASHINGTON AVE
ROSWELL, NM 88201
Chaves County (575) 622-2606
DR. KAREN LYNNE CARSON M.D.
Pediatrics
813 N WASHINGTON AVE
ROSWELL, NM 88201
Chaves County (575) 622-2606
DR. BEVERLEY ANN ELLIOTT M.D.
Pediatrics
813 N WASHINGTON AVE
ROSWELL, NM 88201
Chaves County (575) 622-2606
GIM H TAN MD
Pediatrics
813 N WASHINGTON AVE
ROSWELL, NM 88201
Chaves County (575) 622-2606

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 Kassidy Chism's NPI number?

The NPI number for Kassidy Chism is 1326838079. It was assigned to this individual provider in the NPPES registry on May 7, 2025.

Where is Kassidy Chism located?

Kassidy Chism practices at 813 N Washington Ave, Roswell, NM 88201. The listed phone number is (575) 622-2606.

What is Kassidy Chism's specialty?

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

Is Kassidy Chism enrolled in Medicare?

Yes. Kassidy Chism is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kassidy Chism was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.