NANCY CHAVEZ – Family Medicine Physician, NPI 1174100291

NANCY CHAVEZ is a healthcare provider. based in Memphis, Tennessee. specializing in FAMILY PRACTICE, OBSTETRICS/GYNECOLOGY. They hold a License No. 71856 (TN). The NPI Number for NANCY CHAVEZ is 1174100291

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
NANCY CHAVEZ
NPI
1174100291
Phone
(901) 226-1358
Address
6025 WALNUT GROVE RD STE 407
Enumeration Date
25 March 2021
Last Update Date
25 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9017297801
Graduation Year
2014 (12 years ago)
PAC ID
1153727136
Group Practice PAC ID
1052362167
Professional Enrollment ID
I20241018000826
Address ID
TN381285016ME3040XPIKE302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

2,210 FAMILY PRACTICE in TN

Provider Addresses for NANCY CHAVEZ

  • 6025 WALNUT GROVE RD STE 407

    MEMPHIS, TN 381202124

    Phone: (901) 226-1358

    Fax: (901) 356-1401

    Type: Location

  • 4007 PIPPIN ST

    MEMPHIS, TN 381282267

    Phone: (901) 376-7383

    Type: Mailing

  • 3030 COVINGTON PIKE STE 100

    MEMPHIS, TN 381285049

    Phone: (901) 383-8889

    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: 2024-10-18

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
I20241018000826IFamily 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 38120)

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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: 1052362167View full group profile
NameSpecialtyState
Family PracticeTX
Physician AssistantTN
Obstetrics/Gynecology, Family PracticeTN
Clinical Social WorkerNC
Family PracticeTN
Family PracticeTN
Family PracticeMO
Family Practice, Obstetrics/GynecologyPA

Reviews

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Frequently asked questions

Is there an official ID for NANCY CHAVEZ in U.S. healthcare records?
The official identifier for NANCY CHAVEZ is NPI 1174100291.
Is there an active status for NANCY CHAVEZ?
For scheduling context, NANCY CHAVEZ is shown as active in the registry.
What expertise is attributed to NANCY CHAVEZ?
NANCY CHAVEZ's specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for NANCY CHAVEZ?
Travel planning: use Memphis, Tennessee as the reference point for NANCY CHAVEZ, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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