JENNY PHILIP CHACKO AGPCNP-BC
NPI 1740767185
Nurse Practitioner - Primary Care in New York, NY
About Jenny Philip Chacko Agpcnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNY PHILIP CHACKO AGPCNP-BC (NPI 1740767185) is an individual primary care provider in New York, New York, licensed in New York (F308580) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jenny Philip Chacko Agpcnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jenny Chacko reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
White Plains, NY 10601
- Reassigned Medicare billing, New York enrollment
- 445 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10019 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
NEW YORK, NY 10019
NEW YORK, NY 10019
NEW YORK, NY 10019
NEW YORK, NY 10019
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 Jenny Chacko's NPI number?
The NPI number for Jenny Chacko is 1740767185. It was assigned to this individual provider in the NPPES registry on July 27, 2018.
Where is Jenny Chacko located?
Jenny Chacko practices at 1000 10th Ave, New York, NY 10019. The listed phone number is (212) 523-4000.
What is Jenny Chacko's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Jenny Chacko enrolled in Medicare?
Yes. Jenny Chacko is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jenny Chacko's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jenny Chacko reassigns Medicare benefits to 2 organizations: North Shore - Lij Medical PC (New Hyde Park, NY) and White Plains Physician Services PC (White Plains, NY). 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 Jenny Chacko'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 Jenny Chacko was last updated on July 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Jenny Philip Chacko, AGPCNP-BC · NPI 1740767185
Primary Care physician in New York, New York. Individual provider, active in the CMS NPPES registry since July 27, 2018.
## Identity
- **NPI:** 1740767185 (Entity type: Individual)
- **Enumerated:** July 27, 2018
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** F308580 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1000 10TH AVE, New York, NY 10019-1147
- **Phone:** (212) 523-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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): North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY); White Plains Physician Services PC (NPI 1124502687, White Plains, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 27, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1740767185) · Data from the CMS NPPES public registry.