NPIMap

Individual provider Active NPI

James C Chaney, A.R.N.P.

  • Nurse Practitioner
  • Pensacola Beach, FL
National Provider Identifier
1023047446
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2210632 Issued in FL
Practice address
2 Sugarbowl Lane
Pensacola Beach, FL 32561
Phone
(850) 418-2128
Fax
(850) 916-0788
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2210632 FL Primary

Addresses

Primary practice location

2 Sugarbowl Lane
Pensacola Beach, FL 32561

Mailing address

PO Box 244
Gonzalez, FL 32560-0244
Phone (850) 623-2948

Other identifiers 4

IdentifierTypeStateIssuer
302818600MedicaidFL
P00297615OtherRAILROAD MEDICARE
17449OtherFLBLUE CROSS BLUE SHIELD
591-69733OtherALBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040109000678 FL Practitioner - Nurse Practitioner 9234039918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 Sugar Bowl LN
Gulf Breeze, FL 32561-2438
Phone (850) 418-2128

Hospital & facility affiliations

  • Baptist Home Health Care Home health agency, Pensacola, FL, CCN 107006
  • Angels Care Home Health of the Emerald Coast Home health agency, Fort Walton Beach, FL, CCN 108181
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2210632FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PRN of NW Florida Inc CurrentSince Oct 11, 2006 Accepting new patients
Comfort Care Medical Group PA Past Accepting new patients
Avenir Ventures, L.L.C. Nurse Practitioner PastSince Jun 1, 2012 Accepting new patients
Avenir Ventures, L.L.C. Past Accepting new patients
West Florida Regional Medical Center Past Accepting new patients

Locations

600 W Gregory St
Pensacola, FL 32502
Phone (850) 434-8071

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1023047446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 244",
            "city": "GONZALEZ",
            "state": "FL",
            "postal_code": "325600244",
            "telephone_number": "850-623-2948",
            "fax_number": "850-626-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SUGARBOWL LANE",
            "city": "PENSACOLA BEACH",
            "state": "FL",
            "postal_code": "32561",
            "telephone_number": "850-418-2128",
            "fax_number": "850-916-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANEY",
        "first_name": "JAMES",
        "middle_name": "C",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "2210632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302818600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00297615",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "17449",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "591-69733",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola Beach, FL

Sources for this page

Verify at the official NPI Registry.