Active NPI
Thao Chajkowski, CRNP
- Family Nurse Practitioner
- Carlisle, PA
National Provider Identifier
1003626722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP030353
- Practice address
- 41 Eastgate Dr Ste 200
Carlisle, PA 17015-6962 - Phone
- (717) 905-4320
- Fax
- (717) 345-2337
- NPI assigned
- Jan 14, 2025
- Last updated
- Feb 4, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP030353 | PA | Primary |
Addresses
Primary practice location
41 Eastgate Dr Ste 200
Carlisle, PA 17015-6962
Mailing address
41 Eastgate Drive
Suite 200
Carlisle, PA 17015
Phone (717) 905-4320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
108 Lowther St
Lemoyne, PA 17043-2012
Phone (717) 774-1366
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP030353 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lu Plastic and Reconstructive Surgery LLC | Current | Accepting new patients |
Locations
41 Eastgate Dr
Ste 200
Carlisle, PA 17015
Phone (717) 905-4320
41 Eastgate Dr
Ste B
Carlisle, PA 17015
Interoperability endpoints
- tchajkowski@icp.medentdirect.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Lemoyne, PA
- NPI 1659337210
-
- Plastic Surgery Physician
- Carlisle, PA
- NPI 1053152314
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Camp Hill, PA
- NPI 1659566008
Hospital
-
- General Acute Care Hospital
- Camp Hill, PA
- NPI 1881690212
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1265537674
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
-
dba UPMC Pinnacle West Shore
- General Acute Care Hospital
- Mechanicsburg, PA
- NPI 1972613305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770163200000",
"number": "1003626722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 EASTGATE DRIVE",
"address_2": "SUITE 200",
"city": "CARLISLE",
"state": "PA",
"postal_code": "17015",
"telephone_number": "717-905-4320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 EASTGATE DR STE 200",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170156962",
"telephone_number": "717-905-4320",
"fax_number": "717-345-2337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAJKOWSKI",
"first_name": "THAO",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-14",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP030353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlisle, PA
- Frank Paul Castrina Jr., M.D.
- Cataract and Laser Surgery Center (The Ophthalmology & Surgical Institute of Central PA)
- Central PA Ambulatory Anesthesia LLC
- Central PA Senior Care Solutions LLC
- Jessica Beshore Chacon, SLP-CFY
- Linda Margaret Chalk, PH.D.
- Joanne Louise Chambers, M.S.W.,L.C.S.W
- Brianna M Chaney, DPT
- Duck-Kyu Chang, MD
- Kelly Renee Charlesworth
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.