Individual provider Active NPI

Andrew Chase

  • Family Nurse Practitioner
  • Longboat Key, FL
National Provider Identifier
1003136474
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9283466 Issued in FL
Practice address
505 Bay Isles Pkwy
Longboat Key, FL 34228-3133
Phone
(941) 383-2475
NPI assigned
Jun 8, 2010
Last updated
Nov 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9283466 FL Primary

Addresses

Primary practice location

505 Bay Isles Pkwy
Longboat Key, FL 34228-3133

Mailing address

505 Bay Isles Pkwy
Longboat Key, FL 34228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20160907000447 FL Practitioner - Nurse Practitioner 7214060839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN9283466FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Healthcaring Clinic of Florida, LLC Family Past Accepting new patients
Medstar Harbor Hospital Physicians LLC Past Accepting new patients
Harbor Hospital Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1003136474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 BAY ISLES PKWY",
            "city": "LONGBOAT KEY",
            "state": "FL",
            "postal_code": "34228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 BAY ISLES PKWY",
            "city": "LONGBOAT KEY",
            "state": "FL",
            "postal_code": "342283133",
            "telephone_number": "941-383-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-08",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9283466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longboat Key, FL

Sources for this page

Verify at the official NPI Registry.