CHESTER G PROFETA BSN, MSN
NPI 1548953458
Nurse Practitioner - Psychiatric/Mental Health in San Jose, CA

Active since May 29, 2023PECOS EnrolledAccepts Medicare Assignment
2571 SKYLARK DR, SAN JOSE, CA 95125(714) 588-6659 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 7, 2026, Oct 4, 2024, May 31, 2023 (3 updates tracked since 2023).

About Chester G Profeta Bsn, Msn NPPES

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

CHESTER G PROFETA BSN, MSN (NPI 1548953458) is an individual psychiatric/mental health provider in San Jose, California, licensed in California (NP95030535) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1548953458
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameCHESTER G PROFETACredential: BSN, MSN
Location Address2571 SKYLARK DRSan Jose, CA 95125-2942
Mailing Address2571 Skylark DrSan Jose, CA 95125-2942 · (714) 588-6599
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 29, 2023
Last NPPES UpdateJuly 7, 20263 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1548953458 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
Licenses✔ Licensed in CA · NP95030535✔ Licensed in MI · 4704420286
2571 SKYLARK DR, San Jose, CA 95125

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Chester G Profeta Bsn, Msn 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 ID1254856891
PECOS Enrollment IDI20260121003364
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Chester Profeta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adult Mental Health
980 W 17TH ST STE C
Santa Ana, CA 92706
  • Reassigned Medicare billing, California enrollment
  • 182 clinicians in this Medicare group
Physical Medicine & Rehabilitation
8224 LATONA AVE NE
Seattle, WA 98115
  • Reassigned Medicare billing, California enrollment
  • 60 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 95125 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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

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

Nurse Practitioner (Psychiatric/Mental Health)
2571 SKYLARK DR
SAN JOSE, CA 95125

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 Chester Profeta's NPI number?

The NPI number for Chester Profeta is 1548953458. It was assigned to this individual provider in the NPPES registry on May 29, 2023.

Where is Chester Profeta located?

Chester Profeta practices at 2571 Skylark Dr, San Jose, CA 95125. The listed phone number is (714) 588-6659.

What is Chester Profeta's specialty?

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

Is Chester Profeta enrolled in Medicare?

Yes. Chester Profeta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Chester Profeta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chester Profeta reassigns Medicare benefits to 2 organizations: Mood Clinical, P. C. (Santa Ana, CA) and Sharwin Tafazoli Inc (Seattle, WA). Each 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 Chester Profeta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Chester Profeta was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.