VINCENT CHMIELARCZYK PNP NPI 1619183001

NPI Information

NPI: 1619183001
Provider Name: VINCENT CHMIELARCZYK, PNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
2590 CAMINO ENTRADA
SANTA FE, NM
ZIP 87507
Phone: (505) 946-3233
Get Directions

Vincent Chmielarczyk, PNP is a pediatrics nurse practitioner in Santa Fe, NM. Vincent Chmielarczyk, PNP NPI is 1619183001. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2590 CAMINO ENTRADA
SANTA FE, NM
ZIP 87507-876
Phone: (505) 946-3233

The NPI 1619183001 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 11/29/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		R63290	NEW MEXICO	No
2	163W00000X	Registered Nurse		17857	ALASKA	No
3	363LP0200X	Nurse Practitioner	Pediatrics	469	ALASKA	No
4	363LP0200X	Nurse Practitioner	Pediatrics	CNP01422	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NM300438	MEDICARE PIN	NEW MEXICO
2	30481775	MEDICAID	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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