Individual provider Active NPI

Chad P Hamann

  • Primary Care Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1093594004
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
11028872 Issued in FL
Practice address
1507 S Tuttle Ave
Sarasota, FL 34239-2608
Phone
(301) 722-0484
Fax
(833) 903-0130
NPI assigned
Sep 28, 2023
Last updated
Nov 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 11028872 FL Primary
Urology Physician 208800000X 11028872 FL

Addresses

Primary practice location

1507 S Tuttle Ave
Sarasota, FL 34239-2608

Mailing address

157 Baltimore St Ste 102
Cumberland, MD 21502-2472
Phone (301) 722-0484

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
I20231011000389 FL Practitioner - Nurse Practitioner 2365897311 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10443 Trianon PL
Wellington, FL 33449-8075

12100 Seminole Pratt Whitney Rd
West Palm Beach, FL 33412-1774

2400 SW Mapp Rd
Palm City, FL 34990-2714

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11028872FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novus Pain & Physical Medicine - Florida, LLC Multi-Specialty CurrentSince Oct 1, 2025 Accepting new patients
Primary Care Solutions & More LLC Multi-Specialty CurrentSince Sep 29, 2023 Accepting new patients
Inspired Medical PA Multi-Specialty CurrentSince Nov 7, 2024 Accepting new patients

Locations

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

5075 Innovation Way
Jupiter, FL 33458
Phone (561) 935-3002

1701 SE Hillmoor Dr
Ste 7
Port St Lucie, FL 34952
Phone (772) 398-9808

1507 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 366-0336

48 High Point Rd
Tavernier, FL 33070
Phone (305) 853-0799

157 Baltimore St
Ste 102
Cumberland, MD 21502

Interoperability endpoints

  • Direct secure messaging: chad.hamann.1@25403.direct.athenahealth.com

Organizations & group practices 3

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": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1093594004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 BALTIMORE ST STE 102",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022472",
            "telephone_number": "301-722-0484",
            "fax_number": "833-903-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 S TUTTLE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392608",
            "telephone_number": "301-722-0484",
            "fax_number": "833-903-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMANN",
        "first_name": "CHAD",
        "middle_name": "P",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-28",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11028872",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "11028872",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.