Active NPI
Jacob Daniel Chaney, PA
- Physician Assistant
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA02875
- Practice address
- 1327 Troup Hwy
Tyler, TX 75701-4443 - Phone
- (903) 510-8840
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA02875 | TX | Primary |
Addresses
Primary practice location
1327 Troup Hwy
Tyler, TX 75701-4443
Mailing address
PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6400
Other practice location 1
910 E Houston St Ste 330
Tyler, TX 75702-8368
Phone (903) 606-7995
Other practice location 2
8591 S Broadway Ave
Tyler, TX 75703-5470
Phone (903) 596-9173
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 776514 | Other | TX | MEDICARE |
| 75-2616977-042 | Other | TX | TRICARE |
| 183908601 | Medicaid | TX | |
| 183908603 | Medicaid | TX | |
| 8Y9987 | Other | TX | BCBS OF TEXAS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18780 Interstate 20
Canton, TX 75103-3593
Phone (903) 567-4841
3203 S Main St
Christus Trinity Clinic
Lindale, TX 75771-7727
Phone (903) 266-4000
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
800 E Dawson St
Christus Trinity Clinic
Tyler, TX 75701-2036
Phone (903) 510-1186
8389 S Broadway Ave
Tyler, TX 75703-5408
Phone (903) 606-6500
8591 S Broadway Ave
Tyler, TX 75703-5470
Phone (903) 606-8840
910 E Houston St
Tyler, TX 75702-8364
Hospital & facility affiliations
- Christus Mother Frances Hospital
- Ut Health East Texas Rehabilitation Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Mother Frances Hospital Jacksonville | Current | Accepting new patients | |
| Mother Frances Hospital Regional Health Care Center | Current | Accepting new patients | |
| Trincare Inc | Current | Accepting new patients | |
| Sound Inpatient Physicians of Texas I, Inc | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Sound Inpatient Physicians of Texas I, Inc | Current | Accepting new patients | |
| Southeast Emergency Physician Associates, P.a. | Past | Accepting new patients | |
| Beaumont Bone & Joint Institute, PA | Past | Accepting new patients | |
| Trinity Clinic | Past | Accepting new patients |
Locations
18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000
323 E Hawkins Pkwy
Ste A
Longview, TX 75605
Phone (903) 758-2746
17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068
1327 Troup Hwy
Tyler, TX 75701
Phone (903) 510-8764
8591 S Broadway Ave
Tyler, TX 75703
Phone (903) 596-9173
910 E Houston St
Ste 330
Tyler, TX 75702
Phone (903) 510-8718
800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- jchaney5603@christushealth.direct-ci.net
Organizations & group practices 12
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.
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Critical Access Hospital
- Jacksonville, TX
- NPI 1952306672
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
-
- Family Medicine Physician
- Sugar Land, TX
- NPI 1831424563
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Hospitalist Physician
- San Antonio, TX
- NPI 1811321797
-
- Clinical Medical Laboratory
- Tyler, TX
- NPI 1033351226
-
- Hospitalist Physician
- Tacoma, WA
- NPI 1629403761
-
- Orthopaedic Surgery Physician
- Beaumont, TX
- NPI 1861446148
-
- Emergency Medicine Physician
- Beaumont, TX
- NPI 1235155102
-
- Family Medicine Physician
- Tyler, TX
- NPI 1922058304
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
- Rehabilitation Hospital
- Tyler, TX
- NPI 1174021695
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745366400000",
"number": "1114969060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 846098",
"city": "DALLAS",
"state": "TX",
"postal_code": "752846098",
"telephone_number": "903-324-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1327 TROUP HWY",
"city": "TYLER",
"state": "TX",
"postal_code": "757014443",
"telephone_number": "903-510-8840"
}
],
"practiceLocations": [
{
"address_1": "910 E Houston St Ste 330",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757028368",
"country_code": "US",
"telephone_number": "903-606-7995",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8591 S Broadway Ave",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757035470",
"country_code": "US",
"telephone_number": "903-596-9173",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANEY",
"first_name": "JACOB",
"middle_name": "DANIEL",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2025-04-23",
"certification_date": "2025-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA02875",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "776514",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "75-2616977-042",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "183908601",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "183908603",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS",
"identifier": "8Y9987",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.