Chandra Lynn White, PMHNP - Medicare Nurse Practitioner in Grand Rapids, MN

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Chandra Lynn White, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Grand Rapids, Minnesota. Her current practice location is 1601 Golf Course Rd, Grand Rapids, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 326-3401.

Chandra Lynn White is licensed to practice in Minnesota (license number CNP2259) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558618884.

Contact Information

Chandra Lynn White, PMHNP
1601 Golf Course Rd,
Grand Rapids, MN 55744-8648
(218) 326-3401
(218) 999-1461

Map and Direction




Provider's Profile

Full NameChandra Lynn White
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1601 Golf Course Rd, Grand Rapids, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558618884
  • Provider Enumeration Date: 08/06/2012
  • Last Update Date: 09/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8820249741
  • Enrollment ID: I20121126000641

Medical Identifiers

Medical identifiers for Chandra Lynn White such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558618884NPI-NPPES
1558618884MedicaidWI
1558618884MedicaidMI
1558618884MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health R160948-4 (Minnesota)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health CNP2259 (Minnesota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Chandra Lynn White allows following entities to bill medicare on her behalf.
Entity NameGrand Itasca Clinic And Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669426631
PECOS PAC ID: 8123939550
Enrollment ID: O20031105000209
Entity NameAssociates In Psychiatry And Psychology
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922145622
PECOS PAC ID: 5799697876
Enrollment ID: O20031105000739
Entity NameRange Regional Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669569265
PECOS PAC ID: 8022920024
Enrollment ID: O20031110000095
Entity NameNorthern Tranquility Mental Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700469640
PECOS PAC ID: 4981009479
Enrollment ID: O20210820003039
Entity NameChrysalis Wellness Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083497358
PECOS PAC ID: 9931553542
Enrollment ID: O20231002001059

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chandra Lynn White is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Chandra Lynn White, PMHNP
Po Box 701,
Buhl, MN 55713-0701

Ph: (218) 969-0386		Chandra Lynn White, PMHNP
1601 Golf Course Rd,
Grand Rapids, MN 55744-8648

Ph: (218) 326-3401

Reviews and Comments


Nurse Practitioner Nurses in Grand Rapids, MN

Mrs. Jessica Jo Day, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744
Phone: 218-326-3401    
Lindsey Peratalo, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744
Phone: 218-360-3401    
Bobbi Jean Olson, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744
Phone: 218-326-3401    
Stephanie R Harnack, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1601 Golf Course Road, Grand Rapids, MN 55744
Phone: 218-326-3401    Fax: 218-999-1709
Jared Harnack, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 516 S Pokegama Ave, Grand Rapids, MN 55744
Phone: 218-327-2001    
Ms. Sharon Elizabeth Buesing, APRN, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1542 Golf Course Rd Ste 204, Grand Rapids, MN 55744
Phone: 218-999-7000    
Natalie Jane Gustafson, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1542 Golf Course Rd Ste 204, Grand Rapids, MN 55744
Phone: 218-999-7000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.