Individual provider Active NPI

Marie Elizabeth Chambers, CNP

  • Adult Health Nurse Practitioner
  • Centerville, OH
National Provider Identifier
1063538783
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN.CNP.09140 Issued in OH
Practice address
2300 Miami Valley Dr Ste 550
Centerville, OH 45459-4779
Phone
(937) 438-7500
Fax
(937) 438-7555
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN.CNP.09140 OH Primary

Addresses

Primary practice location

2300 Miami Valley Dr Ste 550
Centerville, OH 45459-4779

Mailing address

2621 Gladwin CT
Miamisburg, OH 45342-5243
Phone (419) 265-3055

Other practice location 1

2621 Gladwin Ct
Miamisburg, OH 45342-5243
Phone (419) 265-3055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20171206001186 OH Practitioner - Nurse Practitioner 2961769583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

2300 Miami Valley Dr
Suite 550
Centerville, OH 45459-1298
Phone (937) 208-4200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc CurrentSince Nov 13, 2017 Accepting new patients
Premier Health Specialists Inc Current Accepting new patients
Premier Health Specialists Inc CurrentSince Nov 13, 2017 Accepting new patients
Premier Heart Associates, Inc Past Accepting new patients

Locations

2300 Miami Valley Dr
Ste 550
Dayton, OH 45459
Phone (937) 438-7500

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

Organizations & group practices 4

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 2

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1063538783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 GLADWIN CT",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453425243",
            "telephone_number": "419-265-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MIAMI VALLEY DR STE 550",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594779",
            "telephone_number": "937-438-7500",
            "fax_number": "937-438-7555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2621 Gladwin Ct",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453425243",
            "country_code": "US",
            "telephone_number": "419-265-3055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "MARIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.09140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.