Andrew Chase
Individual provider Active NPI Family Nurse Practitioner · Longboat Key, FL
NPI 1003136474 · NPPES record last updated Nov 19, 2018
Key facts
- NPI
- 1003136474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN9283466 (FL)
- Practice address
- 505 Bay Isles Pkwy
Longboat Key, FL 34228-3133 - Phone
- (941) 383-2475
- NPI assigned
- Jun 8, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160907000447 | FL | Practitioner - Nurse Practitioner | 7214060839 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9283466 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Healthcaring Clinic of Florida, LLC | Family | Past | Accepting new patients |
| Harbor Hospital | Past | Accepting new patients | |
| Medstar Harbor Hospital Physicians LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN9283466 | FL | Yes |
Addresses
Primary practice location
505 Bay Isles Pkwy
Longboat Key, FL 34228-3133
Mailing address
505 Bay Isles Pkwy
Longboat Key, FL 34228
Other providers in Longboat Key, FL
- Loren Batsell
- Peter Williams Birch
- Douglas Keith Black
- Bonnie Joy Brodkin
- Carnelian Consulting, LLC
- Chester Alfred Chmielewski
- Renee Karas Crames
- Sandra Currier
- Kim Channing Dahlby
- Daren Spinelle MD PLLC
All providers in Longboat Key, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.