Tony D Chism

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

214796 Issued in AR

Practice address

934 N Gaskill
Huntsville, AR 72740-1319

Phone

(479) 738-5500

Fax

(479) 738-1350

NPI assigned

Mar 5, 2021

Last updated

Oct 22, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boston Mountain Rural Health Center, IncGroup PAC ID 3870401722, 53 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Boston Mountain Rural Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Marshall, AR
  • NPI 1720096027
  Medicare reassignment Care Compare group NPD
• Texarkana Behavioral Associates, L.C.

  dba Valley Behavioral Health System Outpatient Program

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Barling, AR
  • NPI 1467483677
  Medicare reassignment NPD
• Boston Mountain Rural Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Center Ridge, AR
  • NPI 1407397797
  NPD
• Boston Mountain Rural Health Center, Inc

  dba Boston Mountain Rural Health Center Huntsville School Based Health Center

  • Federally Qualified Health Center (FQHC)
  • Huntsville, AR
  • NPI 1972313237
  NPD
• Texarkana Behavioral Associates, L.C.

  dba Vantage Point of Northwest Arkansas

  • Psychiatric Hospital
  • Fayetteville, AR
  • NPI 1639137565
  NPD

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1699360297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1060",
            "city": "MARSHALL",
            "state": "AR",
            "postal_code": "726501060",
            "telephone_number": "870-448-5733",
            "fax_number": "479-738-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 N GASKILL",
            "city": "HUNTSVILLE",
            "state": "AR",
            "postal_code": "727401319",
            "telephone_number": "479-738-5500",
            "fax_number": "479-738-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISM",
        "first_name": "TONY",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-05",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "214796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271128758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Anne Calvery-Carman, ANP
• Caitlin Bailey Carter, DNP, APRN, FNP-C
• James Michael Casteel
• Sheila Jeanette Chapman, MHPP
• Mary Louise Child, MHPP
• Charles Edward Coger, PD
• Edward Perry Cooper Jr., DMD
• Countryside Assisted Living, LLC
• Countryside Healthcare, Inc.
• County of Madison (Madison County EMS)

• Psychiatric/Mental Health Nurse Practitioner in Huntsville, AR
• Providers in Huntsville, AR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.