Individual provider Active NPI

Tatiana Alexandra Chandler, PA-C

  • Physician Assistant
  • Jupiter, FL
National Provider Identifier
1043635618
Registry record updated May 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9107751 Issued in FL
Practice address
1335 W Indiantown Rd
Jupiter, FL 33458-4631
Phone
(561) 263-7010
NPI assigned
Feb 19, 2014
Last updated
May 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9107751 FL Primary

Addresses

Primary practice location

1335 W Indiantown Rd
Jupiter, FL 33458-4631

Mailing address

1335 W Indiantown Rd
Jupiter, FL 33458-4631
Phone (561) 263-7010

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
I20210716001026 FL Practitioner - Physician Assistant 2163824871 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1002 S Old Dixie Hwy
Jupiter, FL 33458-7202

1335 W Indiantown Rd
Jupiter, FL 33458-4631
Phone (561) 263-7025

5430 Military TRL
Jupiter, FL 33458-2873

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Medical Center Physicians Group Inc CurrentSince Mar 6, 2023 Accepting new patients
Mecnb, LLC CurrentSince Jun 3, 2021 Accepting new patients
Jupiter Medical Center Physicians Group CurrentSince Mar 6, 2023 Accepting new patients
Mecnb, LLC CurrentSince Jun 3, 2021 Accepting new patients
Benaim Eye LLC PastSince Jul 2, 2013 Accepting new patients
Expressdocs2Llc PastSince Feb 11, 2024 Accepting new patients
Express Docs, LLC Past Accepting new patients
Helix Virtual, Inc Past Accepting new patients

Locations

1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695

1335 W Indiantown Rd
Jupiter, FL 33458
Phone (561) 263-7010

2055 Military Trl
Ste 307
Jupiter, FL 33458
Phone (561) 263-7449

5430 Military Trl
Ste 64
Jupiter, FL 33458
Phone (561) 263-7010

3250 Pga Blvd
Palm Beach Gardens, FL 33410
Phone (561) 263-5775

6515 S Kanner Hwy
Stuart, FL 34997
Phone (772) 463-1123

225 S US Highway 1
Tequesta, FL 33469
Phone (561) 747-4464

Interoperability endpoints

  • FHIR API: https://epicrp.jupitermed.com/oauth2-prd/api/FHIR/R4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/FCGJBD
  • Direct secure messaging: tchandler27572@jupitermedicalcenter.direct-ci.com

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685145600000",
    "number": "1043635618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 W INDIANTOWN RD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584631",
            "telephone_number": "561-263-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 W INDIANTOWN RD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584631",
            "telephone_number": "561-263-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "TATIANA",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-19",
        "last_updated": "2023-05-27",
        "certification_date": "2023-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9107751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.