Chrysalis
NPI 1134304926ActiveOrganization· Specialist· Eureka, MT
Specialist in Eureka, Montana, registered in NPPES in December 2007. The authorized official on file is Kenny Pannell, LCPC, Vice President.
Overview
| NPI | 1134304926 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 31, 2007 |
| Last updated in NPPES | Dec 31, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | IL |
| Community Health Worker | 172V00000X | — | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Specialist providers in Eureka
- 1588738405