Dr Kiniya Chantera Church, DNP, FNP-C, PMHNP-BC - Medicare Nurse Practitioner in Midlothian, VA

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Dr Kiniya Chantera Church, DNP, FNP-C, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Midlothian, Virginia. Her current practice location is 14321 Winter Breeze Dr, Midlothian, Virginia. You can reach out to her office (for appointments etc.) via phone at (833) 452-9772.

Dr Kiniya Chantera Church is licensed to practice in Virginia (license number 0024171501) 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 1215352554.

Contact Information

Dr Kiniya Chantera Church, DNP, FNP-C, PMHNP-BC
14321 Winter Breeze Dr,
Midlothian, VA 23113-2452
(833) 452-9772
(888) 442-6953

Map and Direction




Provider's Profile

Full NameDr Kiniya Chantera Church
GenderFemale
SpecialityNurse Practitioner - Family
Location14321 Winter Breeze Dr, Midlothian, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215352554
  • Provider Enumeration Date: 02/24/2014
  • Last Update Date: 09/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1951524305
  • Enrollment ID: I20140603002231

Medical Identifiers

Medical identifiers for Dr Kiniya Chantera Church such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215352554NPI-NPPES
C04555OtherVAGROUP PTAN
C05149OtherVAGROUP PTAN
C05403OtherVAGROUP PTAN
GC1103OtherVAGROUP PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 0024171501 (Virginia)Secondary
363LF0000XNurse Practitioner - Family 0024171501 (Virginia)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. Dr Kiniya Chantera Church allows following entities to bill medicare on her behalf.
Entity NameMid Atlantic Long Term Specialty Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851909998
PECOS PAC ID: 8921427162
Enrollment ID: O20201007001831
Entity NameSignify Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210226002383
Entity NameLandmark Medical Of Virginia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265193874
PECOS PAC ID: 2961897780
Enrollment ID: O20220315000234

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. Dr Kiniya Chantera Church 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
Dr Kiniya Chantera Church, DNP, FNP-C, PMHNP-BC
14321 Winter Breeze Dr,
Midlothian, VA 23113-2452

Ph: () -		Dr Kiniya Chantera Church, DNP, FNP-C, PMHNP-BC
14321 Winter Breeze Dr,
Midlothian, VA 23113-2452

Ph: (833) 452-9772

Reviews and Comments


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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.