Individual provider Active NPI

Jeannelle Chaperon, CNM

  • Advanced Practice Midwife
  • Setauket, NY
National Provider Identifier
1083986608
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
F001577 Issued in NY
Practice address
200 Main St Ste 2&6
Setauket, NY 11733-2918
Phone
(631) 638-4766
Fax
(631) 751-2322
NPI assigned
Jan 27, 2012
Last updated
Mar 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X F001577 NY Primary
Registered Nurse 163W00000X 569086 NY

Addresses

Primary practice location

200 Main St Ste 2&6
Setauket, NY 11733-2918

Mailing address

200 Main St Ste 2&6
Setauket, NY 11733-2918
Phone (631) 638-4766

Other practice location 1

959 E 106th St
Brooklyn, NY 11236-3011
Phone (917) 753-4220

Other names 1

  • Jeannelle Chaperon Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150313000868 NY Practitioner - Certified Nurse Midwife (CNM) 6204152051 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Nicolls Rd
Stony Brook, NY 11794-8091
Phone (631) 444-7650

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
569086NYMDRegistered Nurse
001577NYMDAcupuncturist
F001577NYMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
SKN 2 SKN LLC Current Accepting new patients
Cupids Handz CurrentSince Jan 21, 2022 Accepting new patients
University Associates in Obstetrics & Gynecology, University Faculty P CurrentSince Jul 5, 2022 Accepting new patients
St. Barnabas Orthopedic Surgery Practice PC Past Accepting new patients
Sun River Health Inc. Past Accepting new patients

Locations

100 Nicolls Rd
Stony Brook, NY 11794
Phone (631) 444-1560

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 6

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": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1083986608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MAIN ST STE 2&6",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117332918",
            "telephone_number": "631-638-4766",
            "fax_number": "631-751-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAIN ST STE 2&6",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117332918",
            "telephone_number": "631-638-4766",
            "fax_number": "631-751-2322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "959 E 106th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112363011",
            "country_code": "US",
            "telephone_number": "917-753-4220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAPERON",
        "first_name": "JEANNELLE",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-27",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F001577",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "569086",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNELLE",
            "last_name": "CHAPERON",
            "credential": "CNM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Setauket, NY

Sources for this page

Verify at the official NPI Registry.