MARY CHANDLER (AANP) – Nurse Practitioner, NPI 1780082206

MARY CHANDLER (AANP) is a healthcare provider. based in Bonne terre, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials AANP. They hold a License No. 2019009110 (MO). The NPI Number for MARY CHANDLER (AANP) is 1780082206

Main info

Female
12 Years Of Experience
Name
MARY CHANDLER (AANP)
NPI
1780082206
Phone
(573) 723-1100
Address
11 S DIVISION ST STE A
Enumeration Date
16 December 2014
Last Update Date
25 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5737231100
Graduation Year
2014 (12 years ago)
PAC ID
2860716719
Group Practice PAC ID
6103253919
Professional Enrollment ID
I20150123001285
Address ID
MO636281701BO11XXXSTXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:11State licenses:2Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for MARY CHANDLER (AANP)

  • 11 S DIVISION ST STE A

    BONNE TERRE, MO 636281701

    Phone: (573) 723-1100

    Fax: (572) 723-1130

    Type: Location

  • 11 S DIVISION ST

    STE A

    BONNE TERRE, MO 636281701

    Phone: (573) 454-2466

    Fax: (573) 454-2544

    Type: Mailing

  • 507 W PINE ST

    FARMINGTON, MO 636401439

    Phone: (573) 454-2466

    Fax: (572) 454-2544

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 77 Open Payments records for all available years, with a total value of $1,243.

Total Amount is formed as General ($1,243) + Research ($0) + Ownership ($0) = $1,243.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($187).

Total Amount

$1,243

General + Research + Ownership

Payments

77

Total payment records

General Amount

$1,243

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

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: 2015-01-23

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150123001285INurse PractitionerMOTBD

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
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month45860$0
99214Established patient office or other outpatient visit, 30-39 minutes32571$0
99213Established patient office or other outpatient visit, 20-29 minutes18045$0
90837Psychotherapy, 1 hour8424$0
90834Psychotherapy, 45 minutes7027$0
View full utilization report →

Insurance plans in this area (ZIP 63628)

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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: 6103253919View full group profile
NameSpecialtyState
-MO
Clinical Social WorkerMO

Reviews

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Frequently asked questions

What identifier follows MARY CHANDLER (AANP) across health systems?
The NPI 1780082206 uniquely identifies MARY CHANDLER (AANP) in U.S. healthcare data.
Does the public listing show MARY CHANDLER (AANP) as active?
MARY CHANDLER (AANP)'s NPI record reflects an active status in NPPES.
What type of care does MARY CHANDLER (AANP) provide?
MARY CHANDLER (AANP)'s profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to MARY CHANDLER (AANP)?
MARY CHANDLER (AANP) shows a connection to Bonne Terre, Missouri in registry-derived data.
Who maintains MARY CHANDLER (AANP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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