Sherin Ann Chakkalakel, DNP, FNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

NP95010634 Issued in CA

Practice address

141 Lynch Creek Way
Petaluma, CA 94954-2341

Phone

(707) 763-0802

NPI assigned

Jan 14, 2019

Sex

Female

Sole proprietor

No

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.

• Nightingale Clinical Care, PC

  • Primary Care Clinic/Center
  • Riverside, CA
  • NPI 1972159069

  CA

  Medicare reassignment NPD
• St. Joseph Health Northern California, LLC

  • General Acute Care Hospital
  • Santa Rosa, CA
  • NPI 1134152549
  NPD (past)

Specialty

Nurse Practitioner

Education

University of California, San Francisco School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in CA

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 20, 2021.

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1104390053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 BEACH ST APT 103",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941231538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 LYNCH CREEK WAY",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949542341",
            "telephone_number": "707-763-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAKKALAKEL",
        "first_name": "SHERIN",
        "middle_name": "ANN",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-14",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "NP95010634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "schakkalakel1647981@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "905 E Washington St",
            "city": "Petaluma",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949523389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alejandra Cerna
• Guadalupe Chabriel, AGPCNP
• Adriana Chacon-Kreysa
• Aimee C Chagnon, MD
• Shannon Dawn Chain, MD
• Adrian Zhiwen Chan
• Von Chan, D.D.S., INC
• Kevin Chang, PHARMD
• Channel Medical Group of California, P.C.
• Frank Chao, O.D.

• All providers in Petaluma, CA
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.