JOHNATHON CHISUM (PA) – Physician Assistant, NPI 1538104138
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,429 PHYSICIAN ASSISTANT in VA
Provider Addresses for JOHNATHON CHISUM (PA)
1115 Boulders Pkwy Ste 100
North Chesterfield, VA 232254067
Phone: (804) 320-1339
Fax: (804) 330-5829
Type: Location
PO BOX 388
FISHERSVILLE, VA 229390388
Phone:
Type: Mailing
1115, Boulders Parkway, Chesterfield Village, Chesterfield County, Virginia, 23225, United States
STE 200
NORTH CHESTERFIELD, VA 232254067
Phone: (804) 915-4607
Fax: (804) 560-9029
Type: Mailing
Boulders Parkway, Chesterfield County, Virginia, 23225, United States
NORTH CHESTERFIELD, VA 232254067
Phone: (804) 320-1339
Fax: (804) 330-5829
Type: Location
70 MEDICAL CENTER CIR STE 103
FISHERSVILLE, VA 229392273
Phone: (540) 245-7400
Fax: (540) 245-7401
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: 2004-06-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040617001491 | I | Physician Assistant | VA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 182 | 149 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 43 | 43 | $0 |
Insurance plans in this area (ZIP 23225)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | VA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | VA | |
| Nurse Practitioner | VA | |
| Family Practice | VA | |
| Endocrinology, Internal Medicine | VA | |
| Gastroenterology, Internal Medicine | VA | |
| H O S P I T A L I S T | NC | |
| Physician Assistant | VA | |
| - | VA | |
| A N E S T H E S I O L O G Y | NE |
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