CARYN JADE CHISHOLM PMHNP-BC
NPI 1922522275
Nurse Practitioner - Psychiatric/Mental Health in Peoria, AZ

Active since July 28, 2017PECOS EnrolledAccepts Medicare Assignment
96.89/100
CMS Quality Rating
14100 N 83RD AVE STE 100, PEORIA, AZ 85381(623) 583-0232 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 23, 2024, Jul 21, 2022, Jul 28, 2017 (3 updates tracked since 2017).

About Caryn Jade Chisholm Pmhnp-bc NPPES

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

CARYN JADE CHISHOLM PMHNP-BC (NPI 1922522275) is an individual psychiatric/mental health provider in Peoria, Arizona, licensed in Arizona (AP10395) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1922522275
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCARYN JADE CHISHOLMCredential: PMHNP-BC
Location Address14100 N 83RD AVE STE 100Peoria, AZ 85381-4621
Mailing Address14100 N 83rd Ave Ste 100Peoria, AZ 85381-4621 · (623) 583-0232
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 28, 2017
Last NPPES UpdateDecember 23, 20243 updates tracked since enumeration
NPPES CertifiedDecember 23, 2024
NPI 1922522275 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
License Licensed in AZ · AP10395
14100 N 83RD AVE STE 100, Peoria, AZ 85381

Accepted 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

Caryn Jade Chisholm Pmhnp-bc 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 ID2668738295
PECOS Enrollment IDI20171114002368
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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85381 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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.

96.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.99
Promoting Interoperability100
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 5

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

Counselor
14100 N 83RD AVE STE 100
PEORIA, AZ 85381
Nurse Practitioner (Psychiatric/Mental Health)
14100 N 83RD AVE STE 100
PEORIA, AZ 85381
Nurse Practitioner (Psychiatric/Mental Health)
14100 N 83RD AVE STE 100
PEORIA, AZ 85381
Nurse Practitioner (Psychiatric/Mental Health)
14100 N 83RD AVE STE 100
PEORIA, AZ 85381
Nurse Practitioner (Family)
14100 N 83RD AVE STE 100
PEORIA, AZ 85381

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 Caryn Chisholm's NPI number?

The NPI number for Caryn Chisholm is 1922522275. It was assigned to this individual provider in the NPPES registry on July 28, 2017.

Where is Caryn Chisholm located?

Caryn Chisholm practices at 14100 N 83rd Ave Ste 100, Peoria, AZ 85381. The listed phone number is (623) 583-0232.

What is Caryn Chisholm's specialty?

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

Is Caryn Chisholm enrolled in Medicare?

Yes. Caryn Chisholm 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.

What insurance does Caryn Chisholm accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Caryn Chisholm 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 Caryn Chisholm was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.