DR. CHARDONNAY VANCE (MD PHD) – Obstetrics Physician, NPI 1164834347
Obstetrics Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. CHARDONNAY VANCE (MD PHD)
PO BOX 886
WHITE SALMON, WA 986720886
Phone: (509) 289-2119
Fax: (509) 232-5809
Type: Mailing
216 14th Ave SW
Sidney, MT 592703519
Phone: (406) 488-2100
Type: Location
1021 June St Ste 102
Hood River, OR 970311516
Phone: (541) 386-3883
Type: Location
PO BOX 2290
WHITE SALMON, WA 986722290
Phone: (314) 720-1644
Fax: (509) 232-5809
Type: Mailing
181 W JEWETT BLVD
WHITE SALMON, WA 986728974
Phone: (509) 289-2119
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2023-05-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 9 Medicare enrollment records; no due dates published yet.
Enrollment records
9
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 |
|---|---|---|---|---|
| I20200424002853 | I | Family Practice | OR | TBD |
| I20230202000016 | I | General Practice | FL | TBD |
| I20230316002167 | I | Family Practice | MI | TBD |
| I20230323002059 | I | Family Practice | KY | TBD |
| I20230327002976 | I | Family Practice | LA | TBD |
| I20230328000985 | I | Family Practice | TX | TBD |
| I20230328001601 | I | Family Practice | OK | TBD |
| I20230421001225 | I | Family Practice | WV | TBD |
| I20230503000288 | I | Family Practice | TN | 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 98672)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | TN | |
| Certified Registered Nurse Anesthetist (Crna) | UT | |
| Diagnostic Radiology | MN | |
| - | WA | |
| Orthopedic Surgery | MT | |
| - | MT | |
| Pain Management | ND | |
| General Surgery | OH | |
| Internal Medicine | NY | |
| O T O L A R Y N G O L O G Y | MT |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.