KRISTEN NICOLE CHAVES (AG-ACNP) – Acute Care Nurse Practitioner, NPI 1063907152

KRISTEN NICOLE CHAVES (AG-ACNP) is a healthcare provider. based in San bernardino, California. specializing in NURSE PRACTITIONER. They hold the professional credentials AG-ACNP. They hold a License No. 95009273 (CA). The NPI Number for KRISTEN NICOLE CHAVES (AG-ACNP) is 1063907152

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN NICOLE CHAVES (AG-ACNP)
NPI
1063907152
Phone
(909) 335-4188
Address
PO BOX 10069
Enumeration Date
29 June 2018
Last Update Date
29 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7043730212
Graduation Year
2017 (9 years ago)
PAC ID
0547501397
Group Practice PAC ID
3375449655
Professional Enrollment ID
I20241227000937
Address ID
NC282042826CH1237XPLXX310
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

16,538 NURSE PRACTITIONER in CA

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Provider Addresses for KRISTEN NICOLE CHAVES (AG-ACNP)

  • PO BOX 10069

    SAN BERNARDINO, CA 924230069

    Phone: (909) 335-4188

    Type: Mailing

  • 2, West Fern Avenue, Redlands, San Bernardino County, California, 92373, United States

    REDLANDS, CA 923735916

    Phone: (909) 793-3311

    Type: Location

  • 1444 RIDGEHAVEN RD

    WAXHAW, NC 28173

    Phone: (951) 581-9100

    Type: Location

  • 1237 HARDING PLACE

    SUITE 4300

    CHARLOTTE, NC 28204

    Phone: (704) 373-0212

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2023-02-02 • Largest payer in this snapshot: ATRICURE, INC. ($17).

Total Amount

$33

General + Research + Ownership

Payments

2

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-02

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-12-27

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190404002555INurse PractitionerCATBD
I20241227000937INurse PractitionerNCTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92423)

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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: 3375449655View full group profile
NameSpecialtyState
-NC
Hospitalist, Internal MedicineNC
-NC
-NC
-NC
General Surgery, Vascular SurgeryNC
Family PracticeSC
Nurse PractitionerNC
Cardiovascular Disease (Cardiology), Internal MedicineNC
Rheumatology, Internal MedicineNC

Reviews

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Frequently asked questions

What is the registry number for KRISTEN NICOLE CHAVES (AG-ACNP)?
The registry entry for KRISTEN NICOLE CHAVES (AG-ACNP) shows NPI 1063907152.
Is KRISTEN NICOLE CHAVES (AG-ACNP)'s NPI status active today?
Active status means KRISTEN NICOLE CHAVES (AG-ACNP)'s NPI record is not deactivated in the public file.
Which specialty label fits KRISTEN NICOLE CHAVES (AG-ACNP)?
NPPES ties KRISTEN NICOLE CHAVES (AG-ACNP) to Acute Care Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is KRISTEN NICOLE CHAVES (AG-ACNP) tied to San Bernardino, California?
If you are local to San Bernardino, California, KRISTEN NICOLE CHAVES (AG-ACNP) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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