Chad M Madere, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

TAP003099 Issued in LA

Practice address

827 N Pine St
Gramercy, LA 70052-3659

Phone

(225) 869-9200

Fax

(225) 869-9241

NPI assigned

Jun 14, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• St. James Parish Hosp. Serv. Dist.

  • Critical Access Hospital
  • Lutcher, LA
  • NPI 1295868065

  LA

  Medicare reassignment NPD
• St. James Primary Care, Apmc

  • General Practice Physician
  • Gramercy, LA
  • NPI 1346429453

  LA

  Medicare reassignment NPD
• St James Parish Hosp Serv Dist

  • Rural Health Clinic/Center
  • Vacherie, LA
  • NPI 1518364801

  Family

  NPD
• St James Parish Hosp Serv Dist

  • Urology Physician
  • Lutcher, LA
  • NPI 1790183820
  NPD
• St. James Primary Care

  • Family Medicine Physician
  • Donaldsonville, LA
  • NPI 1841521200
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1124466958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 N PINE ST",
            "city": "GRAMERCY",
            "state": "LA",
            "postal_code": "700523659",
            "telephone_number": "225-869-9200",
            "fax_number": "225-869-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 N PINE ST",
            "city": "GRAMERCY",
            "state": "LA",
            "postal_code": "700523659",
            "telephone_number": "225-869-9200",
            "fax_number": "225-869-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADERE",
        "first_name": "CHAD",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-14",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "TAP003099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2349686",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hulin Urgent Care Services, LLC
• Danielle Johnson
• K Renee Non Emergency Medical Transportation
• Lisha Kirklin
• Paris W Lewis
• Jeanne Bourque Maylon
• Eancia C McCrory, CRNA
• Robert McDonald, DPT
• Holly Martin Millet, NP
• Victoria Harris Millet, MS, RD, LD

• All providers in Gramercy, LA
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.