Gilbert Chenwi

Key facts

NPI

1104641018

Entity type

Individual (NPI type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner 363LP0808X

License

SP031337 (PA)

Practice address

329 Pine St Ste C
Williamsport, PA 17701-9929

Phone

(610) 818-7977

NPI assigned

Nov 18, 2024

Sex

Male

Sole proprietor

Yes

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 and National Provider Directory roles.

• Silver Willow Wellness PC Geriatric Medicine (Internal Medicine) Physician · Reading, PA · NPI 1659164697
  Medicare reassignment Care Compare group NPD PA
• Supportive Care of Pennsylvania LLC Clinical Psychologist · Monsey, NY · NPI 1174992275
  Medicare reassignment Care Compare group NPD PA
• Vital Healthcare Solutions Psychiatry Physician · Sinking Springs, PA · NPI 1659736957
  Medicare reassignment NPD PA

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Supportive Care of Pennsylvania LLC (91 clinicians)
Silver Willow Wellness PC (118 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 18, 2024.

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1104641018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 PINE ST STE C",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177019929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 PINE ST STE C",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177019929",
            "telephone_number": "610-818-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENWI",
        "first_name": "GILBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP031337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, PA

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• Barbara Chesney
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All providers in Williamsport, PA · Psychiatric/Mental Health Nurse Practitioner in Pennsylvania