Caryn Jade Chisholm, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP10395 Issued in AZ

Practice address

14100 N 83Rd Ave Ste 100
Peoria, AZ 85381-4621

Phone

(623) 583-0232

NPI assigned

Jul 28, 2017

Sex

Female

Sole proprietor

No

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 AZ

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Partners in Recovery LLCGroup PAC ID 9638212301, 32 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.32 of 100Reported as group

Quality

85.03

Promoting interoperability

99

Improvement activities

40

Cost

90.19

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BAFJCA

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.

• Partners in Recovery, LLC

  • Adult Mental Health Clinic/Center
  • Phoenix, AZ
  • NPI 1922232925
  Medicare reassignment Care Compare group
• Southwest Network

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1104856004
  Medicare reassignment NPD
• Partners in Recovery, LLC

  • Clinic/Center
  • Phoenix, AZ
  • NPI 1184476962
  NPD
• Partners in Recovery, LLC

  • Clinic/Center
  • Phoenix, AZ
  • NPI 1306698436
  NPD
• Prisma Community Care

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1104929504
  NPD
• Southwest Network, Inc.

  • Community/Behavioral Health Agency
  • Chandler, AZ
  • NPI 1487981338
  NPD
• Southwest Network, Inc.

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1952542078
  NPD

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1922522275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 N 83RD AVE STE 100",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814621",
            "telephone_number": "623-583-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 N 83RD AVE STE 100",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814621",
            "telephone_number": "623-583-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISHOLM",
        "first_name": "CARYN",
        "middle_name": "JADE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP10395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Chinea
• Eiza L Ching, MD
• Chiro Care Wellness, Inc
• Chirocomplete Wellness LLC
• Chirofit Group PLLC
• Elena Minju Cho, DO
• Vijayaratna Chockalingam, M.D
• Han Choi, DDS
• James Young Choi, M.D.
• Jay Woong Choi, PHARMD

• Psychiatric/Mental Health Nurse Practitioner in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.
• 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.