CHERNO BAH (PMH-NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1891167342
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,551 NURSE PRACTITIONER in KS
Provider Addresses for CHERNO BAH (PMH-NP)
814 BAYFIELD WAY
APT # 202
COLORADO SPRINGS, CO 809064612
Phone: (208) 473-6010
Type: Mailing
1901 E 1ST ST
NEWTON, KS 671145010
Phone: (316) 284-6400
Type: Location
PO BOX 649
FORT DEFIANCE, AZ 865040649
Phone: (928) 729-8000
Type: Mailing
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Phone: (928) 729-8000
Fax: (928) 729-3355
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: 2017-08-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170823001554 | 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 80906)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NY | |
| Family Practice | IA | |
| P O D I A T R Y | FL | |
| - | GA | |
| - | MO | |
| Diagnostic Radiology | MN | |
| Internal Medicine | AZ | |
| General Surgery | NC | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AZ | |
| - | AZ |
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