DR. KINIYA CHANTERA CHURCH (DNP, FNP-C, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1215352554
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. KINIYA CHANTERA CHURCH (DNP, FNP-C, PMHNP-BC)
12020 SUNRISE VALLEY DR STE 100
RESTON, VA 201913429
Phone:
Type: Mailing
2315 W Mercury Blvd
Hampton, VA 236663114
Phone: (757) 262-1227
Type: Location
12020 Sunrise Valley Dr Ste 100
Reston, VA 201913429
Phone: (480) 862-1700
Type: Location
701 E Byrd St
Richmond, VA 232193921
Phone: (757) 941-5095
Type: Location
14321 Winter Breeze Dr
Midlothian, VA 231132452
Phone: (833) 452-9772
Fax: (888) 442-6953
Type: Location
22 CROATAN TRL
PORTSMOUTH, VA 237012416
Phone: (757) 938-0140
Type: Mailing
PO BOX 748465
ATLANTA, GA 303748465
Phone: (855) 284-7483
Fax: (617) 807-0958
Type: Mailing
3804 POPLAR HILL RD STE D
CHESAPEAKE, VA 233215532
Phone: (757) 210-9381
Type: Location
14321 WINTER BREEZE DR
MIDLOTHIAN, VA 231132452
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $238.
Total Amount is formed as General ($238) + Research ($0) + Ownership ($0) = $238.
Last reported payment date: 2024-10-01 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($125).
Total Amount
$238
General + Research + Ownership
Payments
2
Total payment records
General Amount
$238
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $125 |
| Janssen Pharmaceuticals, Inc | $113 |
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: 2017-02-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140603002231 | I | Nurse Practitioner | VA | TBD |
| I20170221001803 | I | Nurse Practitioner | DC | TBD |
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.
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 20191)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| - | VA | |
| - | VA | |
| - | VA | |
| Nurse Practitioner | AZ | |
| - | VA | |
| H O S P I T A L I S T | VA | |
| - | VA | |
| - | VA | |
| - | VA |
Reviews
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