NPIMap

Individual provider Active NPI

Jennifer P Chan, M.D.

  • Family Medicine Physician
  • Chambersburg, PA
National Provider Identifier
1073510418
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD068706L Issued in PA
Practice address
820 5TH Ave
Chambersburg, PA 17201-4219
Phone
(717) 263-4313
Fax
(717) 263-0500
NPI assigned
Jun 30, 2005
Last updated
Aug 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD068706L PA Primary

Addresses

Primary practice location

820 5TH Ave
Chambersburg, PA 17201-4219

Mailing address

111 Chambers Hill Dr
Ste 200
Chambersburg, PA 17201-7304
Phone (717) 709-7922

Other identifiers 1

IdentifierTypeStateIssuer
001789378MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050309000412 PA Practitioner - Family Practice 3173577400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of Ny Upstate Medical University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Keystone Rural Health CenterGroup PAC ID 5496663312, 44 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

820 5TH Ave
Chambersburg, PA 17201-4219
Phone (717) 709-7999

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Rural Health Center CurrentSince Jul 24, 2000 Accepting new patients
Keystone Rural Health Center Current Accepting new patients
Keystone Rural Health Center CurrentSince Jul 24, 2000 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

111 Chambers Hill Dr
Ste 200
Chambersburg, PA 17201
Phone (717) 709-7900

22 St Paul Dr
Ste 200
Chambersburg, PA 17201
Phone (717) 709-7900

820 5th Ave
Chambersburg, PA 17201
Phone (717) 263-4313

Interoperability endpoints

  • Direct secure messaging: jchan241983@wellspan.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1073510418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CHAMBERS HILL DR",
            "address_2": "STE 200",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172017304",
            "telephone_number": "717-709-7922",
            "fax_number": "717-263-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 5TH AVE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014219",
            "telephone_number": "717-263-4313",
            "fax_number": "717-263-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "JENNIFER",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD068706L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001789378",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.