KOURTNEY ANNA CHAIRES NP
NPI 1497009203
Nurse Practitioner - Family in White Sands Missile Range, NM
About Kourtney Anna Chaires Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KOURTNEY ANNA CHAIRES NP (NPI 1497009203) is an individual family provider in White Sands Missile Range, New Mexico, licensed in New Mexico (CNP-02110) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kourtney Anna Chaires Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kourtney Chaires reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Las Cruces, NM 88012
- Reassigned Medicare billing, New Mexico enrollment
- 73 clinicians in this Medicare group
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 88002 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kourtney Chaires's NPI number?
The NPI number for Kourtney Chaires is 1497009203. It was assigned to this individual provider in the NPPES registry on October 31, 2012.
Where is Kourtney Chaires located?
Kourtney Chaires practices at 1363 Aberdeen Ave, White Sands Missile Range, NM 88002. The listed phone number is (575) 674-3500.
What is Kourtney Chaires's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kourtney Chaires enrolled in Medicare?
Yes. Kourtney Chaires is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kourtney Chaires's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kourtney Chaires reassigns Medicare benefits to Ben Archer Health Center (Las Cruces, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kourtney Chaires's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kourtney Chaires accept?
Health plans from Blue Cross and Blue Shield of Texas list Kourtney Chaires as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kourtney Chaires was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Kourtney Anna Chaires, NP · NPI 1497009203
Family physician in White Sands Missile Range, New Mexico. Individual provider, active in the CMS NPPES registry since October 31, 2012.
## Identity
- **NPI:** 1497009203 (Entity type: Individual)
- **Enumerated:** October 31, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** CNP-02110 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 1363 ABERDEEN AVE, White Sands Missile Range, NM 88002
- **Phone:** (575) 674-3500 · **Fax:** (915) 742-7459
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ben Archer Health Center (NPI 1780619411, Las Cruces, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1497009203) · Data from the CMS NPPES public registry.