CARLOS CHACON (CRNP) – Family Nurse Practitioner, NPI 1477095883

CARLOS CHACON (CRNP) is a healthcare provider. based in Albertville, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1131572 (AL). The NPI Number for CARLOS CHACON (CRNP) is 1477095883

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
CARLOS CHACON (CRNP)
NPI
1477095883
Phone
(256) 593-1234
Address
3442 US Highway 431
Enumeration Date
16 November 2016
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2569250469
Graduation Year
2015 (11 years ago)
PAC ID
6709150220
Group Practice PAC ID
4880061787
Professional Enrollment ID
I20170922000736
Address ID
AL359743490GE4171875XX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for CARLOS CHACON (CRNP)

  • 3442 US Highway 431

    Albertville, AL 359500203

    Phone: (256) 593-1234

    Fax: (256) 593-6781

    Type: Location

  • PO BOX 697

    BOAZ, AL 359570697

    Phone: (256) 840-8181

    Fax: (256) 744-7290

    Type: Mailing

  • 2986 US HIGHWAY 431

    BOAZ, AL 359575848

    Phone: (256) 840-8181

    Fax: (256) 744-7290

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $154.

Total Amount is formed as General ($154) + Research ($0) + Ownership ($0) = $154.

Last reported payment date: 2024-08-19 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($45).

Total Amount

$154

General + Research + Ownership

Payments

7

Total payment records

General Amount

$154

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-09-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170922000736INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0696Injection, ceftriaxone sodium, per 250 mg6414$0
99213Established patient office or other outpatient visit, 20-29 minutes4336$0
96372Injection of drug or substance under skin or into muscle4021$0
99214Established patient office or other outpatient visit, 30-39 minutes2520$0
View full utilization report →

Insurance plans in this area (ZIP 35950)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880061787View full group profile
NameSpecialtyState
Family PracticeAL

Reviews

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Frequently asked questions

What identifier follows CARLOS CHACON (CRNP) across health systems?
The NPI 1477095883 uniquely identifies CARLOS CHACON (CRNP) in U.S. healthcare data.
Is CARLOS CHACON (CRNP) currently accepting referrals based on NPI status?
Registry metadata lists CARLOS CHACON (CRNP) as active.
What does the directory say CARLOS CHACON (CRNP) does?
Insurance directories may phrase it differently, but here CARLOS CHACON (CRNP) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is CARLOS CHACON (CRNP) tied to Albertville, Alabama?
If you are local to Albertville, Alabama, CARLOS CHACON (CRNP) may be relevant to your search.
Why is information missing for CARLOS CHACON (CRNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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