Michael K Chism II, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APN.0992884-NP Issued in CO

Practice address

2675 S Abilene St Ste 100
Aurora, CO 80014-2363

Phone

(720) 507-4779

Fax

(833) 941-5047

NPI assigned

Feb 11, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.chism.1@27879.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mile High Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Aurora, CO
  • NPI 1760928766
  Medicare reassignment NPD Authorized official
• Heart Light Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Henderson, NV
  • NPI 1790405348
  NPD Authorized official
• Mile High Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Aurora, CO
  • NPI 1407681174
  NPD (past) Authorized official
• Mile High Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Littleton, CO
  • NPI 1538706122
  NPD (past) Authorized official
• Mile High Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Calabasas, CA
  • NPI 1013655737
  NPD (past) Authorized official
• Mile High Psychiatry LLC

  • Mental Health Counselor
  • Houston, TX
  • NPI 1801490859
  NPD (past) Authorized official
• Enrichment Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Foxfield, CO
  • NPI 1730833211
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1154780757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15355 E COLFAX AVE UNIT 111717",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800421975",
            "telephone_number": "720-507-4779",
            "fax_number": "720-367-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 S ABILENE ST STE 100",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142363",
            "telephone_number": "720-507-4779",
            "fax_number": "833-941-5047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14221 E 4th Ave Ste 2-126",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800118735",
            "country_code": "US",
            "telephone_number": "720-507-4779",
            "fax_number": "720-367-5067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHISM",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "name_suffix": "II",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-11",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0992884-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chirocare PC
• Chiroplus Wellness Care, LLC
• Chirosport Chiropractic Clinic Inc.
• Chirosport Chiropractic Health Center P.C.
• William Marshall Chisholm, M.D.
• Sherita Chism
• Khaja Najibuddin Chisty, M.D
• Chia Yu Chiu, MD
• Sarah Chivington-Buck
• Daniel Cho

• Psychiatric/Mental Health Nurse Practitioner in Aurora, CO
• Providers in Aurora, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.