Casilda Cabral Chenier, PA
Individual provider Active NPI Physician Assistant · Goshen, IN
NPI 1124258124 · NPPES record last updated Jul 24, 2009
Key facts
- NPI
- 1124258124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 99088082A (IN)
- Practice address
- 1811 Charlton CT
Goshen, IN 46526-6464 - Phone
- (574) 534-0121
- NPI assigned
- Jul 24, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130717000847 | IN | Practitioner - Physician Assistant | 3476793357 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99088082A | IN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Everside Health, LLC | Past | Accepting new patients | |
| Everside Health, LLC | Past | Accepting new patients |
Interoperability endpoints
- casilda.chenier.1@14940.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 99088082A | IN | Yes |
Addresses
Primary practice location
1811 Charlton CT
Goshen, IN 46526-6464
Mailing address
1811 Charlton CT
Goshen, IN 46526-6464
Phone (574) 534-0121
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1084290 | Other | IN | NCCPA INDENTIFICATION NUMBER |
Other providers in Goshen, IN
- Julia Chairez
- Rebecca Chalfant
- Change Architects LLP
- Douglas Allan Charlesworth
- Maritza E Chavez Stahly
- Winfield Alfred Chester
- Chiropractic Wellness Center of Goshen, PC
- Janelle E Christensen
- Linda Christophel
- City of Goshen
All providers in Goshen, IN · Physician Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.