MRS. SAUNDRA LUCINDA CHISOLM NP
NPI 1508934514
Nurse Practitioner - Adult Health in Far Rockaway, NY

Q: What is Saundra Chisolm's NPI number?

The NPI number for Saundra Chisolm is 1508934514. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Q: What is Saundra Chisolm's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Saundra Chisolm was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 30, 2006PECOS Enrolled

327 BEACH 19TH STREET, FAR ROCKAWAY, NY 11691(718) 869-7224(718) 869-8226 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Saundra Lucinda Chisolm Np NPPES

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

MRS. SAUNDRA LUCINDA CHISOLM NP (NPI 1508934514) is an individual adult health provider in Far Rockaway, New York, licensed in New York (F301912-1) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508934514

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMRS. SAUNDRA LUCINDA CHISOLMCredential: NP

Location Address327 BEACH 19TH STREETFar Rockaway, NY 11691

Mailing Address254 Pennsylvania AveFreeport, NY 11520-1329 · (515) 378-3224 · Fax (516) 378-7181

Phone(718) 869-7224

Fax(718) 869-8226

Sole ProprietorYes

Enumeration DateNovember 30, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1508934514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F301912-1

327 BEACH 19TH STREET, Far Rockaway, NY 11691

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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)

Mrs. Saundra Lucinda Chisolm Np 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 11691 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

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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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