CHANTA MCKINLEY AGACNP-BC, RN
NPI 1639807423
Nurse Practitioner in Columbus, OH
About Chanta Mckinley Agacnp-bc, Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHANTA MCKINLEY AGACNP-BC, RN (NPI 1639807423) is an individual nurse practitioner in Columbus, Ohio, licensed in Ohio (0031943) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
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 and accepts Medicare assignment
Chanta Mckinley Agacnp-bc, Rn 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
2Medicare enrollment records show Chanta Mckinley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oak Brook, IL 60523
- Reassigned Medicare billing, Ohio enrollment
- 16 clinicians in this Medicare group
Orange, CT 06477
- Reassigned Medicare billing, Ohio enrollment
- 5 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 43215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Chanta Mckinley's NPI number?
The NPI number for Chanta Mckinley is 1639807423. It was assigned to this individual provider in the NPPES registry on August 10, 2022.
Where is Chanta Mckinley located?
Chanta Mckinley practices at 20 South 3rd St, Columbus, OH 43215. The listed phone number is (216) 245-7663.
What is Chanta Mckinley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Chanta Mckinley enrolled in Medicare?
Yes. Chanta Mckinley 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 Chanta Mckinley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chanta Mckinley reassigns Medicare benefits to 2 organizations: Applebaum Physiatry PLLC (Oak Brook, IL) and Impact Health Advanced Care PC (Orange, CT). 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 Chanta Mckinley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Chanta Mckinley accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource, CareSource (Common Ground Healthcare) and MedMutual list Chanta Mckinley 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 Chanta Mckinley was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Chanta Mckinley, AGACNP-BC, RN · NPI 1639807423
Nurse Practitioner physician in Columbus, Ohio. Individual provider, active in the CMS NPPES registry since August 10, 2022.
## Identity
- **NPI:** 1639807423 (Entity type: Individual)
- **Enumerated:** August 10, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 0031943 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 20 SOUTH 3RD ST, Columbus, OH 43215
- **Phone:** (216) 245-7663
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Applebaum Physiatry PLLC (NPI 1700598059, Oak Brook, IL); Impact Health Advanced Care PC (NPI 1528931011, Orange, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 15, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1639807423) · Data from the CMS NPPES public registry.