MR. NIKOLAY NIKOLAEVICH JR. CHERNUKHIN (D.C.) – Chiropractor, NPI 1235550856

MR. NIKOLAY NIKOLAEVICH JR. CHERNUKHIN (D.C.) is a healthcare provider. based in Vancouver, Washington. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. CH60421741 (WA). The NPI Number for MR. NIKOLAY NIKOLAEVICH JR. CHERNUKHIN (D.C.) is 1235550856

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
MR. NIKOLAY NIKOLAEVICH JR. CHERNUKHIN (D.C.)
NPI
1235550856
Phone
(360) 737-9665
Address
221-A NE 104TH AVE
Enumeration Date
27 December 2013
Last Update Date
27 December 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3607984543
Graduation Year
2013 (13 years ago)
PAC ID
6709200470
Group Practice PAC ID
5193193712
Professional Enrollment ID
I20200916002024
Address ID
WA986613078VA4201XAVEX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,415 CHIROPRACTIC in WA

Provider Addresses for MR. NIKOLAY NIKOLAEVICH JR. CHERNUKHIN (D.C.)

  • 221-A NE 104TH AVE

    SUITE 205

    VANCOUVER, WA 98664

    Phone: (360) 737-9665

    Fax: (360) 737-9634

    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)

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: 2020-09-16

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
I20200916002024IChiropracticWATBD

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 98664)

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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: 5193193712View full group profile
NameSpecialtyState
C H I R O P R A C T I CWA
C H I R O P R A C T I CWA

Reviews

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Frequently asked questions

What NPI should I save for MR. NIKOLAY NIKOLAEVICH JR. CHERNUKHIN (D.C.)?
Save NPI 1235550856 if you need a stable reference for MR. NIKOLAY NIKOLAEVICH JR. CHERNUKHIN (D.C.).
Does this profile mean MR. NIKOLAY NIKOLAEVICH JR. CHERNUKHIN (D.C.) is currently active?
Yes — MR. NIKOLAY NIKOLAEVICH JR. CHERNUKHIN (D.C.) appears active in the national provider directory.
Can you summarize MR. NIKOLAY NIKOLAEVICH JR. CHERNUKHIN (D.C.)'s specialty in plain language?
Clinically, the directory lists MR. NIKOLAY NIKOLAEVICH JR. CHERNUKHIN (D.C.) with Chiropractor. Clinical services aligned with this taxonomy classification.
Where is MR. NIKOLAY NIKOLAEVICH JR. CHERNUKHIN (D.C.)'s primary listing?
We display Vancouver, Washington because that is what the record indicates for MR. NIKOLAY NIKOLAEVICH JR. CHERNUKHIN (D.C.).
How can I contact MR. NIKOLAY NIKOLAEVICH JR. CHERNUKHIN (D.C.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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