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KRISTY SAMNANG CHANN PMHNP
NPI 1396673612
Nurse Practitioner - Psychiatric/Mental Health in San Bernardino, CA

Active since May 08, 2026PECOS Enrolled
1470 PUMALO ST, SAN BERNARDINO, CA 92404(909) 765-6820 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kristy Samnang Chann Pmhnp NPPES

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

KRISTY SAMNANG CHANN PMHNP (NPI 1396673612) is an individual psychiatric/mental health provider in San Bernardino, California, licensed in California (95039303) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396673612
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKRISTY SAMNANG CHANNCredential: PMHNP
Location Address1470 PUMALO STSan Bernardino, CA 92404-4328
Mailing Address1470 Pumalo StSan Bernardino, CA 92404-4328 · (909) 765-6820
Phone(909) 765-6820
Sole ProprietorYes
Enumeration DateMay 8, 2026
NPPES CertifiedMay 8, 2026
✔ NPI 1396673612 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 CA · 95039303
1470 PUMALO ST, San Bernardino, CA 92404
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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)

Kristy Samnang Chann Pmhnp 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 92404 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

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 Kristy Chann's NPI number?

The NPI number for Kristy Chann is 1396673612. It was assigned to this individual provider in the NPPES registry on May 8, 2026.

Where is Kristy Chann located?

Kristy Chann practices at 1470 Pumalo St, San Bernardino, CA 92404. The listed phone number is (909) 765-6820.

What is Kristy Chann's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kristy Chann enrolled in Medicare?

Yes. Kristy Chann is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristy Chann was last updated on May 8, 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.