CHANDRAWATIE KHEMRAJ (APRN) – Nurse Practitioner, NPI 1164964334

CHANDRAWATIE KHEMRAJ (APRN) is a healthcare provider. based in Brooklyn park, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 4884 (MN). The NPI Number for CHANDRAWATIE KHEMRAJ (APRN) is 1164964334

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
CHANDRAWATIE KHEMRAJ (APRN)
NPI
1164964334
Phone
(407) 432-1254
Address
6542 102ND AVE N
Enumeration Date
5 November 2016
Last Update Date
8 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9528538800
Graduation Year
2016 (10 years ago)
PAC ID
6103107784
Group Practice PAC ID
1759293954
Professional Enrollment ID
I20161220001846
Address ID
MN553031776AN2621XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

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Provider Addresses for CHANDRAWATIE KHEMRAJ (APRN)

  • 102nd Avenue North, Brooklyn Park, Hennepin County, Minnesota, 55443, United States

    BROOKLYN PARK, MN 554451205

    Phone: (407) 432-1254

    Type: Mailing

  • 7901, Bass Lake Road, New Hope, Hennepin County, Minnesota, 55428, United States

    NEW HOPE, MN 554283105

    Phone: (763) 257-0130

    Type: Location

  • 8170 33RD AVE S

    MS 21110Q

    BLOOMINGTON, MN 554254516

    Phone:

    Type: Mailing

  • 15245 BLUEBIRD ST NW

    ANDOVER, MN 553043538

    Phone: (763) 587-4688

    Fax: (763) 587-4662

    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: 2016-12-20

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
I20161220001846INurse PractitionerMNTBD

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 minutes129119$0
99203New patient office or other outpatient visit, 30-44 minutes4242$0
71046X-ray of chest, 2 views2513$0
81001Manual urinalysis test with examination using microscope, automated2321$0
36415Insertion of needle into vein for collection of blood sample1917$0
View full utilization report →

Insurance plans in this area (ZIP 55445)

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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: 1759293954View full group profile

Reviews

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Frequently asked questions

How do payers reference CHANDRAWATIE KHEMRAJ (APRN)?
For CHANDRAWATIE KHEMRAJ (APRN), use NPI 1164964334 as the unique 10-digit identifier.
Is there an active status for CHANDRAWATIE KHEMRAJ (APRN)?
For scheduling context, CHANDRAWATIE KHEMRAJ (APRN) is shown as active in the registry.
What clinical focus is listed for CHANDRAWATIE KHEMRAJ (APRN)?
At a glance, CHANDRAWATIE KHEMRAJ (APRN) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Minnesota is CHANDRAWATIE KHEMRAJ (APRN) registered?
Use Brooklyn Park, Minnesota as the headline location for CHANDRAWATIE KHEMRAJ (APRN) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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