John Gary Chaney, APMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Baton Rouge, LA
NPI 1134447816 · NPPES record last updated Mar 27, 2019
Key facts
- NPI
- 1134447816
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- AP06115 (LA)
- Practice address
- 4040 North Blvd Ste a
Baton Rouge, LA 70806-3829 - Phone
- (225) 928-2468
- Fax
- (225) 928-2498
- NPI assigned
- May 5, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Primary Care Providers for a Healthy Feliciana, Inc
Practice addresses (Care Compare)
11990 Jackson St
Clinton, LA 70722-3210
Phone (225) 683-5292
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- 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 |
|---|---|---|---|---|
| I20100727000692 | LA | Practitioner - Nurse Practitioner | 3072694462 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Providers for a Healthy Feliciana, Inc | Current |
Accepting new patients | |
| Primary Care Providers for a Healthy Feliciana, Inc | Current |
Accepting new patients | |
| Primary Care Providers for a Healthy Feliciana, Inc. | Current | Accepting new patients | |
| Primary Care Providers for a Healthy Feliciana Inc | Past | Accepting new patients | |
| Primary Care Providers for a Healthy Feliciana, Inc. | Past | Accepting new patients | |
| Primary Care Providers for a Healthy Feliciana, Inc | Past | Accepting new patients |
Locations
455 E Airport Ave
Baton Rouge, LA 70806
Phone (225) 570-2300
11990 Jackson St
Clinton, LA 70722
Phone (225) 570-6111
10410 Plank Rd
Clinton, LA 70722
Phone (225) 683-8877
28315 S Frost Rd
Livingston, LA 70754
Phone (225) 283-1356
54016 Highway 1062
Loranger, LA 70446
Phone (985) 606-9000
3553 Rosedale Rd
Port Allen, LA 70767
Phone (225) 234-0227
Interoperability endpoints
- john.chaney.p1@direct.rkmprimarycare.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP06115 | LA | Yes |
Addresses
Primary practice location
4040 North Blvd Ste a
Baton Rouge, LA 70806-3829
Mailing address
19065 N Joor Rd
Zachary, LA 70791-8411
Phone (225) 654-3829
Other practice location 1
11990 Jackson St
Clinton, LA 70722-3210
Phone (225) 683-5292 ext. 10229
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2137409 | Medicaid | LA |
Other providers in Baton Rouge, LA
- Adrian Chaney
- Andra Kim Chaney
- Detries Chaney
- Donyelle Tremayne Chaney
- Holly Wellman Travis Chaney
- Kaneisha Chaney
- Kayla Chaney
- Change the System Transport & Logistics LLC
- Changing Lives Transportation Service LLC.
- Changing Minds Psychiatry la LLC
All providers in Baton Rouge, LA · Psychiatric/Mental Health Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2019. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.