DR. JOHN ALLEN KINCHELOE (M.D.) – Family Medicine Physician, NPI 1023194347

DR. JOHN ALLEN KINCHELOE (M.D.) is a healthcare provider. based in Winnemucca, Nevada. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 66832 (TN). The NPI Number for DR. JOHN ALLEN KINCHELOE (M.D.) is 1023194347

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN ALLEN KINCHELOE (M.D.)
NPI
1023194347
Phone
(775) 625-4653
Address
515 W HASKELL ST
Enumeration Date
29 October 2006
Last Update Date
5 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7757484826
Graduation Year
2005 (21 years ago)
PAC ID
5193989119
Group Practice PAC ID
7214822030
Professional Enrollment ID
I20120604000053
Address ID
NV898018334EL1993XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

992 FAMILY PRACTICE in NV

Provider Addresses for DR. JOHN ALLEN KINCHELOE (M.D.)

  • Golden Valley Medical Center, 515, West Haskell Street, Winnemucca, Humboldt County, Nevada, 89445, United States

    WINNEMUCCA, NV 894453782

    Phone: (775) 625-4653

    Fax: (775) 625-7004

    Type: Mailing

  • 515 W Haskell St

    Winnemucca, NV 894453782

    Phone: (775) 625-4653

    Fax: (775) 625-7004

    Type: Location

  • 3841 GREEN HILLS VILLAGE DR STE 200

    NASHVILLE, TN 372152691

    Phone:

    Type: Mailing

  • 3601 THE VANDERBILT CLINIC

    NASHVILLE, TN 372320001

    Phone: (615) 322-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $207.

Total Amount is formed as General ($207) + Research ($0) + Ownership ($0) = $207.

Last reported payment date: 2024-06-28 • Largest payer in this snapshot: Baxter Healthcare ($182).

Total Amount

$207

General + Research + Ownership

Payments

3

Total payment records

General Amount

$207

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-28

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: 2026-01-16

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
I20120604000053IFamily PracticeNVTBD
I20260116000321IFamily PracticeTNTBD

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 89445)

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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: 7214822030View full group profile
NameSpecialtyState
Physician AssistantNV
Physician AssistantID
Physician AssistantCO
-CA
Family Practice, Sports MedicineWY
Nurse PractitionerNV
Nurse PractitionerUT
Family PracticeNE
Family PracticeNV
Nurse PractitionerNM

Reviews

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Frequently asked questions

What is the registry number for DR. JOHN ALLEN KINCHELOE (M.D.)?
The registry entry for DR. JOHN ALLEN KINCHELOE (M.D.) shows NPI 1023194347.
Should I treat DR. JOHN ALLEN KINCHELOE (M.D.) as an active provider?
Patients and plans typically see DR. JOHN ALLEN KINCHELOE (M.D.) as active in the national extract.
What type of care does DR. JOHN ALLEN KINCHELOE (M.D.) provide?
DR. JOHN ALLEN KINCHELOE (M.D.)'s profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. JOHN ALLEN KINCHELOE (M.D.)?
DR. JOHN ALLEN KINCHELOE (M.D.) shows a connection to Winnemucca, Nevada in registry-derived data.
Who maintains DR. JOHN ALLEN KINCHELOE (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.