CHANDRA LYNN WHITE PMHNP
NPI 1558618884
Nurse Practitioner - Psychiatric/Mental Health in Grand Rapids, MN
About Chandra Lynn White Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHANDRA LYNN WHITE PMHNP (NPI 1558618884) is an individual psychiatric/mental health provider in Grand Rapids, Minnesota, licensed in Minnesota (CNP2259) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, is affiliated with Grand Itasca Clinic And Hospital, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Accepted Insurance
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
Chandra Lynn White Pmhnp 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.
Medicare Billing Reassignments
3Medicare enrollment records show Chandra White reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MN 55744
- Reassigned Medicare billing, Minnesota enrollment
- 555 clinicians in this Medicare group
Hibbing, MN 55746
- Reassigned Medicare billing, Minnesota enrollment
- 707 clinicians in this Medicare group
Chisholm, MN 55719
- Reassigned Medicare billing, Minnesota enrollment
- 8 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Grand Itasca Clinic And Hospital
Acute Care Hospitals · Grand Rapids, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55744 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GRAND RAPIDS, MN 55744
GRAND RAPIDS, MN 55744
GRAND RAPIDS, MN 55744
GRAND RAPIDS, MN 55744
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 Chandra White's NPI number?
The NPI number for Chandra White is 1558618884. It was assigned to this individual provider in the NPPES registry on August 6, 2012. The provider is also known as Chandra Weiland.
Where is Chandra White located?
Chandra White practices at 1601 Golf Course Rd, Grand Rapids, MN 55744. The listed phone number is (218) 326-3401.
What is Chandra White's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Chandra White enrolled in Medicare?
Yes. Chandra White 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 Chandra White's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chandra White reassigns Medicare benefits to 3 organizations: Grand Itasca Clinic And Hospital (Grand Rapids, MN), Range Regional Health Services (Hibbing, MN) and Northern Tranquility Mental Health Services (Chisholm, MN). 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 Chandra White's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Chandra White accept?
Health plans from HealthPartners and Sanford Health Plan list Chandra White 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.
Is Chandra White affiliated with any hospitals?
According to CMS data, Chandra White is affiliated with Grand Itasca Clinic And Hospital.
When was this NPI record last updated?
The NPPES record for Chandra White was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Chandra Lynn White, PMHNP · NPI 1558618884
Psychiatric/Mental Health physician in Grand Rapids, Minnesota. Individual provider, active in the CMS NPPES registry since August 6, 2012.
## Identity
- **NPI:** 1558618884 (Entity type: Individual)
- **Enumerated:** August 6, 2012
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** CNP2259 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1601 GOLF COURSE RD, Grand Rapids, MN 55744-8648
- **Phone:** (218) 326-3401 · **Fax:** (218) 999-1461
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Grand Itasca Clinic And Hospital (NPI 1669426631, Grand Rapids, MN); Range Regional Health Services (NPI 1356321699, Hibbing, MN); Northern Tranquility Mental Health Services (NPI 1700469640, Chisholm, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** September 17, 2024
- **Other identifiers:** Medicaid 1558618884 (WI); Medicaid 1558618884 (MI); Medicaid 1558618884 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1558618884) · Data from the CMS NPPES public registry.