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MS. CATHERINE CHANDAVONG NP
NPI 1942552344
Nurse Practitioner - Family in Roseville, CA

Active since October 09, 2012PECOS EnrolledAccepts Medicare Assignment
3001 DOUGLAS BLVD STE 150, ROSEVILLE, CA 95661(916) 241-9844(916) 241-9845 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Catherine Chandavong Np NPPES

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

MS. CATHERINE CHANDAVONG NP (NPI 1942552344) is an individual family provider in Roseville, California, licensed in California (21878) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1942552344
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. CATHERINE CHANDAVONGCredential: NP
Location Address3001 DOUGLAS BLVD STE 150Roseville, CA 95661-3853
Mailing Address15 Marilla CtSacramento, CA 95835-2431 · (916) 524-0368
Phone(916) 241-9844
Fax(916) 241-9845
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 9, 2012
Last NPPES UpdateDecember 30, 2021
✔ NPI 1942552344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 21878
3001 DOUGLAS BLVD STE 150, Roseville, CA 95661
Open in Google Maps ↗

Other Identifiers 2

Other606698CA · Rn
Other21878CA · Np

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

Ms. Catherine Chandavong Np 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 ID3779802269
PECOS Enrollment IDI20150505001832
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95661 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

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 Catherine Chandavong's NPI number?

The NPI number for Catherine Chandavong is 1942552344. It was assigned to this individual provider in the NPPES registry on October 9, 2012.

Where is Catherine Chandavong located?

Catherine Chandavong practices at 3001 Douglas Blvd Ste 150, Roseville, CA 95661. The listed phone number is (916) 241-9844.

What is Catherine Chandavong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Catherine Chandavong enrolled in Medicare?

Yes. Catherine Chandavong 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.

When was this NPI record last updated?

The NPPES record for Catherine Chandavong was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.