MICHAEL K II CHISM (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1154780757
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MICHAEL K II CHISM (PMHNP-BC)
15355 E COLFAX AVE UNIT 111717
AURORA, CO 800421975
Phone: (720) 507-4779
Fax: (720) 367-5067
Type: Mailing
14221 E 4th Ave Ste 2-126
Aurora, CO 800118735
Phone: (720) 507-4779
Fax: (720) 367-5067
Type: Location
2675 S ABILENE ST STE 100
AURORA, CO 800142363
Phone: (720) 507-4779
Fax: (833) 941-5047
Type: Location
East 4th Avenue, Aurora, Arapahoe County, Colorado, 80012-2523, United States
AURORA, CO 800118735
Phone: (720) 507-4779
Fax: (720) 367-5067
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2019-12-11
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190403001734 | I | Nurse Practitioner | CO | TBD |
| I20191211000141 | I | Nurse Practitioner | TX | TBD |
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.
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 80042)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| Mental Health Counselor | CO | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | CO | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | CO |
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