Lorraine Chidester, APRN, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

G155077 Issued in IA

Practice address

5408 NW 88TH St Ste 140
Johnston, IA 50131-2953

Phone

(515) 368-7504

NPI assigned

Feb 14, 2019

Last updated

Oct 4, 2022By the provider in NPPES

Sex

Female

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 IA

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mending Minds LLCGroup PAC ID 5496168882, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Guthrie County Hospital Hospital, Guthrie Center, IA, CCN 161314

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Mending Minds, LLC

  dba Walnut Creek Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Johnston, IA
  • NPI 1245833565
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Guthrie County Hospital

  • Critical Access Hospital
  • Guthrie Center, IA
  • NPI 1366414534
  Care Compare affiliation

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1477019446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5408 NW 88TH ST STE 140",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312953",
            "telephone_number": "515-368-7504",
            "fax_number": "515-355-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5408 NW 88TH ST STE 140",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312953",
            "telephone_number": "515-368-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIDESTER",
        "first_name": "LORRAINE",
        "credential": "APRN, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G155077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyler Case, DC
• Center for Maximized Living, LLC
• Central Iowa Hospital Corporation (Johnston Family Physicians)
• Central States Mobility Inc
• Daisy Alejandra Cerna Poster
• Childserve Community Options, Inc.
• Childserve Habilitation Center
• Childserve Habilitation Center Inc. (ChildServe Habilitation Center ICF/MR)
• Childserve Homecare Inc
• Childserve Homes Inc. (ChildServe Homes SCL Waiver)

• Psychiatric/Mental Health Nurse Practitioner in Johnston, IA
• Providers in Johnston, IA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.