MRS. CHRISTIN COOPER CHANEY (NNP) – Critical Care Neonatal Nurse Practitioner, NPI 1104105337
Critical Care Neonatal Nurse Practitioner
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. CHRISTIN COOPER CHANEY (NNP)
1301 CONCORD TER
SUNRISE, FL 333232843
Phone: (800) 243-3839
Type: Mailing
1906 BELLEVIEW AVE SE
ROANOKE, VA 240141838
Phone: (540) 981-7796
Type: Location
1906 Belleview Ave SE
Roanoke, VA 240141838
Phone: (540) 981-7796
Type: Location
4420 Lake Boone Trl
Raleigh, NC 276077505
Phone: (919) 784-2676
Type: Location
207 OLD LEXINGTON RD
THOMASVILLE, NC 273603428
Phone: (336) 476-2725
Type: Location
PO BOX 60447
CHARLOTTE, NC 282600447
Phone: (364) 762-7253
Type: Mailing
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: 2013-09-03
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 |
|---|---|---|---|---|
| I20130903000606 | I | Nurse Practitioner | NC | 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 33323)
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