JAYDE CHISHOLM DNP
NPI 1376430363
Nurse Practitioner - Family in Rockingham, NC

Q: What is Jayde Chisholm's NPI number?

The NPI number for Jayde Chisholm is 1376430363. It was assigned to this individual provider in the NPPES registry on June 21, 2025.

Q: What is Jayde Chisholm'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 Jayde Chisholm was last updated on July 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 21, 2025PECOS EnrolledAccepts Medicare Assignment

523 ROCKINGHAM RD, ROCKINGHAM, NC 28379(910) 562-9882(910) 562-9955 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jayde Chisholm Dnp NPPES

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

JAYDE CHISHOLM DNP (NPI 1376430363) is an individual family provider in Rockingham, North Carolina, licensed in North Carolina (5022446) and active in the NPI registry since June 2025. The provider is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1376430363

Entity TypeIndividual

Primary Taxonomy363LF0000X

Provider Legal NameJAYDE CHISHOLMCredential: DNP

Location Address523 ROCKINGHAM RDRockingham, NC 28379-3615

Mailing Address523 Rockingham RdRockingham, NC 28379-3615 · (910) 562-9882

Phone(910) 562-9882

Fax(910) 562-9955

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJune 21, 2025

Last NPPES UpdateJuly 28, 2025

NPPES CertifiedJuly 28, 2025

✔ NPI 1376430363 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 NC · 5022446

523 ROCKINGHAM RD, Rockingham, NC 28379

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jayde Chisholm Dnp 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.

PECOS PAC ID6901305796

PECOS Enrollment IDI20250819001189

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 28379 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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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.

MARTIN L LOCKLEAR MA

Counselor (Mental Health)