CHANDRA LYNN WHITE PMHNP
NPI 1558618884
Nurse Practitioner - Psychiatric/Mental Health in Grand Rapids, MN

Q: 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.

Q: 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.

Q: 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 23 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.

Active since August 06, 2012PECOS EnrolledAccepts Medicare Assignment

1601 GOLF COURSE RD, GRAND RAPIDS, MN 55744(218) 326-3401(218) 999-1461 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 17, 2024, Aug 28, 2019 (2 updates tracked since 2019).

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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

NPI1558618884

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameCHANDRA LYNN WHITECredential: PMHNP

Location Address1601 GOLF COURSE RDGrand Rapids, MN 55744-8648

Mailing AddressPo Box 701Buhl, MN 55713-0701 · (218) 969-0386

Phone(218) 326-3401

Fax(218) 999-1461

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateAugust 6, 2012

Last NPPES UpdateSeptember 17, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2024

✔ NPI 1558618884 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 MN · CNP2259✔ Licensed in MN · R160948-4

1601 GOLF COURSE RD, Grand Rapids, MN 55744

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Other Names 1

Former Name (1)Chandra Weiland

Other Identifiers 3

Medicaid1558618884WI

Medicaid1558618884MI

Medicaid1558618884MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID8820249741

PECOS Enrollment IDI20121126000641

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.

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, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number240064

Location1601 Golf Course RoadGrand Rapids, MN 55744 · Itasca County

Emergency services Birthing friendly

Physician 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.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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 20

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

MRS. JESSICA JO DAY NURSE PRACTITIONER

Nurse Practitioner (Family)