MARK W CHIAMPOU (CRNA) – Certified Registered Nurse Anesthetist, NPI 1043735574

MARK W CHIAMPOU (CRNA) is a healthcare provider. based in Lake worth, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. ARNP9310201 (FL). The NPI Number for MARK W CHIAMPOU (CRNA) is 1043735574

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MARK W CHIAMPOU (CRNA)
NPI
1043735574
Phone
1 (561) 723-3730
Address
4466 DANIELSON DR
Enumeration Date
5 August 2017
Last Update Date
5 August 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9566610529
Graduation Year
2017 (9 years ago)
PAC ID
8527333186
Group Practice PAC ID
3476512377
Professional Enrollment ID
I20220510000708
Address ID
TX785395503ED5501XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

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Provider Addresses for MARK W CHIAMPOU (CRNA)

  • 4466 DANIELSON DR

    LAKE WORTH, FL 334673630

    Phone: 1 (561) 723-3730

    Type: Mailing

  • Palm Beach Gardens Medical Center, 3360, Burns Road, Palm Beach Gardens, North Palm Beach, Palm Beach County, Florida, 33410, United States

    PALM BEACH GARDENS, FL 334104323

    Phone: (561) 622-1411

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-01-26 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$16
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: 2022-05-10

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171006001529ICertified Registered Nurse Anesthetist (Crna)FLTBD
I20220510000708ICertified Registered Nurse Anesthetist (Crna)TXTBD

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 33467)

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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: 3476512377View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)LA
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

What identifier follows MARK W CHIAMPOU (CRNA) across health systems?
The NPI 1043735574 uniquely identifies MARK W CHIAMPOU (CRNA) in U.S. healthcare data.
Should I treat MARK W CHIAMPOU (CRNA) as an active provider?
Patients and plans typically see MARK W CHIAMPOU (CRNA) as active in the national extract.
What type of care does MARK W CHIAMPOU (CRNA) provide?
MARK W CHIAMPOU (CRNA)'s profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What city is tied to MARK W CHIAMPOU (CRNA)?
The directory associates MARK W CHIAMPOU (CRNA) with Lake Worth, Florida. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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