Individual provider Active NPI

Rebecca Chase, F.N.P.

  • Family Nurse Practitioner
  • Dartmouth, MA
National Provider Identifier
1073580148
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
252941 Issued in MA
Practice address
531 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone
(508) 996-3991
NPI assigned
Mar 7, 2006
Last updated
Feb 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 252941 MA Primary

Addresses

Primary practice location

531 Faunce Corner Rd
Dartmouth, MA 02747-1242

Mailing address

531 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone (508) 996-3991

Other identifiers 1

IdentifierTypeStateIssuer
0702137MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040818000971 MA Practitioner - Nurse Practitioner 2668445479 Reassigns benefits to 2 organizations
I20241010000561 RI Practitioner - Nurse Practitioner 2668445479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avenir Ventures LLCGroup PAC ID 1153593017, 33 clinicians

Practice addresses (Care Compare)

1 Catamore Blvd
East Providence, RI 02914-1228
Phone (401) 438-0008

182 N Main St
Fall River, MA 02720-2142
Phone (877) 202-2869

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
252941MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avenir Ventures LLC CurrentSince Aug 4, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Sep 2, 2022 Accepting new patients
Hawthorn Medical Associates, LLC Past Accepting new patients
Hawthorn Medical Associates, LLC Past Accepting new patients

Locations

3854 American Way
Ste A
Baton Rouge, LA 70816
Phone (225) 299-3253

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

1 Catamore Blvd
East Providence, RI 02914
Phone (401) 438-0008

Interoperability endpoints

  • Direct secure messaging: rchase@landmarkhealth-direct.org

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

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1073580148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 FAUNCE CORNER RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027471242",
            "telephone_number": "508-996-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 FAUNCE CORNER RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027471242",
            "telephone_number": "508-996-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "REBECCA",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "252941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0702137",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.