CHESNEY BLYTHE CARROLL – Gynecology Physician, NPI 1124504949

CHESNEY BLYTHE CARROLL is a healthcare provider. based in Fishersville, Virginia. specializing in PHYSICIAN ASSISTANT. They hold a License No. 0110006237 (VA). The NPI Number for CHESNEY BLYTHE CARROLL is 1124504949

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
CHESNEY BLYTHE CARROLL
NPI
1124504949
Phone
Not provided
Address
PO BOX 388
Enumeration Date
15 July 2018
Last Update Date
26 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5402132636
Graduation Year
2018 (8 years ago)
PAC ID
9830442953
Group Practice PAC ID
3678632544
Professional Enrollment ID
I20181018002844
Address ID
VA229392348FI39XXXLNXX300

Contacts

Secure Messaging
chesney.carrol.1@14718.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

4,429 PHYSICIAN ASSISTANT in VA

Provider Addresses for CHESNEY BLYTHE CARROLL

  • PO BOX 388

    FISHERSVILLE, VA 229390388

    Phone:

    Type: Mailing

  • 9 S MEDICAL PARK DR

    FISHERSVILLE, VA 229392333

    Phone: (540) 932-5590

    Type: Mailing

  • 39 BEAM LN

    FISHERSVILLE, VA 229392348

    Phone: (540) 213-7750

    Fax: (540) 213-7755

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $69.

Total Amount is formed as General ($69) + Research ($0) + Ownership ($0) = $69.

Last reported payment date: 2024-07-09 • Largest payer in this snapshot: Astellas Pharma US Inc ($30).

Total Amount

$69

General + Research + Ownership

Payments

4

Total payment records

General Amount

$69

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-09

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: 2018-10-18

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
I20181018002844IPhysician AssistantVATBD

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 22939)

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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: 3678632544View full group profile
NameSpecialtyState
Diagnostic RadiologyVA
Interventional Cardiology, Cardiovascular Disease (Cardiology)VA
Nurse PractitionerVA
Family PracticeVA
Endocrinology, Internal MedicineVA
Gastroenterology, Internal MedicineVA
H O S P I T A L I S TNC
Physician AssistantVA
-VA
A N E S T H E S I O L O G YNE

Reviews

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Frequently asked questions

How do payers reference CHESNEY BLYTHE CARROLL?
For CHESNEY BLYTHE CARROLL, use NPI 1124504949 as the unique 10-digit identifier.
Is there an active status for CHESNEY BLYTHE CARROLL?
For scheduling context, CHESNEY BLYTHE CARROLL is shown as active in the registry.
What area of care is associated with CHESNEY BLYTHE CARROLL?
CHESNEY BLYTHE CARROLL's record emphasizes Gynecology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with CHESNEY BLYTHE CARROLL?
Directory geography for CHESNEY BLYTHE CARROLL centers on Fishersville, Virginia.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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