CHAD M PHILLIPS (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1992190359

CHAD M PHILLIPS (PMHNP-BC) is a healthcare provider. based in Knoxville, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 19887 (TN). The NPI Number for CHAD M PHILLIPS (PMHNP-BC) is 1992190359

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
CHAD M PHILLIPS (PMHNP-BC)
NPI
1992190359
Phone
(865) 588-3173
Address
5410 HOMBERG DR
Enumeration Date
2 April 2015
Last Update Date
17 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8652476754
Graduation Year
2014 (12 years ago)
PAC ID
6305158775
Group Practice PAC ID
4486940459
Professional Enrollment ID
I20150629001266
Address ID
TN379234405KN9220XBLVD401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for CHAD M PHILLIPS (PMHNP-BC)

  • 5410 HOMBERG DR

    SUITE 14

    KNOXVILLE, TN 379195031

    Phone: (865) 588-3173

    Fax: (865) 588-3174

    Type: Mailing

  • 9220 PARK WEST BLVD STE 1

    KNOXVILLE, TN 379234405

    Phone: (865) 247-6754

    Fax: (865) 351-5460

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 88 Open Payments records for all available years, with a total value of $2,321.

Total Amount is formed as General ($2,321) + Research ($0) + Ownership ($0) = $2,321.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($525).

Total Amount

$2,321

General + Research + Ownership

Payments

88

Total payment records

General Amount

$2,321

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2015-06-29

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
I20150629001266INurse PractitionerTNTBD

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 37919)

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Provider's Procedures

CHAD M PHILLIPS (PMHNP-BC) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERTN90833Psychotherapy, 30 minutes with patient and/or family member5513

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: 4486940459View full group profile
NameSpecialtyState
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerMO

Reviews

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Frequently asked questions

What is the registry number for CHAD M PHILLIPS (PMHNP-BC)?
The registry entry for CHAD M PHILLIPS (PMHNP-BC) shows NPI 1992190359.
Quick check: is CHAD M PHILLIPS (PMHNP-BC) active?
Public NPPES data shows CHAD M PHILLIPS (PMHNP-BC) with an active NPI status right now.
How should patients interpret CHAD M PHILLIPS (PMHNP-BC)'s specialty?
The extract shows Psychiatric/Mental Health Nurse Practitioner for CHAD M PHILLIPS (PMHNP-BC). Clinical services aligned with this taxonomy classification.
What city is tied to CHAD M PHILLIPS (PMHNP-BC)?
The directory associates CHAD M PHILLIPS (PMHNP-BC) with Knoxville, Tennessee. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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