MR. CHAKA CHIPAWE (NP-C) – Adult Health Nurse Practitioner, NPI 1104378264

MR. CHAKA CHIPAWE (NP-C) is a healthcare provider. based in Pontiac, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 4704249478 (MI). The NPI Number for MR. CHAKA CHIPAWE (NP-C) is 1104378264

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
MR. CHAKA CHIPAWE (NP-C)
NPI
1104378264
Phone
(269) 277-0952
Address
1136 CARPENTER DR
Enumeration Date
25 October 2016
Last Update Date
25 October 2016

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8603355064
Graduation Year
2014 (12 years ago)
PAC ID
7618232349
Group Practice PAC ID
7618367087
Professional Enrollment ID
I20180530003060
Address ID
MI480673837RO306XXAVEX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:9State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

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Provider Addresses for MR. CHAKA CHIPAWE (NP-C)

  • 1136, Carpenter Drive, Pontiac, Oakland County, Michigan, 48340, United States

    PONTIAC, MI 483403313

    Phone: (269) 277-0952

    Type: Mailing

  • White Lake, Seven Harbors, Oakland County, Michigan, United States

    WHITE LAKE, MI 483864619

    Phone: (248) 698-1999

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 163 Open Payments records for all available years, with a total value of $3,484.

Total Amount is formed as General ($3,484) + Research ($0) + Ownership ($0) = $3,484.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Indivior Inc. ($428).

Total Amount

$3,484

General + Research + Ownership

Payments

163

Total payment records

General Amount

$3,484

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2018-05-30

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
I20180530003060INurse PractitionerMITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes8850$0
99214Established patient office or other outpatient visit, 30-39 minutes7547$0
36415Insertion of needle into vein for collection of blood sample2725$0
81002Urinalysis, manual test2121$0
99212Established patient office or other outpatient visit, 10-19 minutes1513$0
View full utilization report →

Insurance plans in this area (ZIP 48340)

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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: 7618367087View full group profile
NameSpecialtyState
N E P H R O L O G YMI
Internal MedicineMI
Nephrology, Internal MedicineMI
Family PracticeMI
Family PracticeMI
Internal MedicineMI
Internal Medicine, Cardiovascular Disease (Cardiology)MI
Internal MedicineMI
Nephrology, Internal MedicineMI
Internal MedicineMI

Reviews

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Frequently asked questions

Can I use this page to confirm MR. CHAKA CHIPAWE (NP-C)'s NPI?
Yes. MR. CHAKA CHIPAWE (NP-C) is listed with NPI 1104378264 in the public NPI dataset.
Can I rely on MR. CHAKA CHIPAWE (NP-C) being an active provider?
As of the registry snapshot, MR. CHAKA CHIPAWE (NP-C) is marked active.
What is MR. CHAKA CHIPAWE (NP-C)'s specialty?
The listing groups MR. CHAKA CHIPAWE (NP-C) with Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect MR. CHAKA CHIPAWE (NP-C) on a map?
Expect Pontiac, Michigan as a primary anchor for MR. CHAKA CHIPAWE (NP-C) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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