MRS. CHANTELLE ELIZABETH ROBERTS – Physician Assistant, NPI 1225550734

MRS. CHANTELLE ELIZABETH ROBERTS is a healthcare provider. based in Kennewick, Washington. specializing in Physician Assistant. The NPI Number for MRS. CHANTELLE ELIZABETH ROBERTS is 1225550734

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CHANTELLE ELIZABETH ROBERTS
NPI
1225550734
Phone
(505) 860-1359
Address
2618 S LYLE ST
Enumeration Date
17 July 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5098651705
Graduation Year
2017 (9 years ago)
PAC ID
0143586974
Group Practice PAC ID
0749206985
Professional Enrollment ID
I20171113000378
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:8State licenses:0Digital endpointsOther names

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Provider Addresses for MRS. CHANTELLE ELIZABETH ROBERTS

  • 2618, South Lyle Street, Tri-Cities, Benton County, Washington, 99337, United States

    KENNEWICK, WA 993377821

    Phone: (505) 860-1359

    Mailing address matches the actual address.

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 $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Organon LLC ($14).

Total Amount

$14

General + Research + Ownership

Payments

2

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Organon LLC$14
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: 2017-11-13

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
I20171113000378IPhysician AssistantTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2211$0
View full utilization report →

Insurance plans in this area (ZIP 99337)

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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: 0749206985View full group profile
NameSpecialtyState
Nurse PractitionerWA
Family Practice, OptometryWA
O P T O M E T R YAZ
-WA
Family PracticeWA
Physician AssistantWA
Family PracticeWA
Nurse PractitionerWI
Internal MedicineWA
-WA

Reviews

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Frequently asked questions

Is MRS. CHANTELLE ELIZABETH ROBERTS listed with a National Provider Identifier?
Yes — MRS. CHANTELLE ELIZABETH ROBERTS has NPI 1225550734 on file in the registry.
Active or inactive — what applies to MRS. CHANTELLE ELIZABETH ROBERTS?
You should see MRS. CHANTELLE ELIZABETH ROBERTS as active in CMS-hosted NPPES data.
What area of care is associated with MRS. CHANTELLE ELIZABETH ROBERTS?
MRS. CHANTELLE ELIZABETH ROBERTS's record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MRS. CHANTELLE ELIZABETH ROBERTS associated with Kennewick?
Public fields place MRS. CHANTELLE ELIZABETH ROBERTS around Kennewick, Washington. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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