Chabacana L Maxwell, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP121185 Issued in TX

Practice address

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-5846

Phone

(432) 681-3100

Fax

(432) 681-3108

NPI assigned

May 16, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chabacana.maxwell@midchs.eclinicaldirectplus.com

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.

• Midland Community Healthcare Services

  • Federally Qualified Health Center (FQHC)
  • Midland, TX
  • NPI 1235225087
  Medicare reassignment NPD
• Midland Community Healthcare Services

  • Family Medicine Physician
  • Midland, TX
  • NPI 1396142931
  NPD

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1154767234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 GUERRERO ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780432643",
            "telephone_number": "956-236-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ROSALIND REDFERN GROVER PKWY",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015846",
            "telephone_number": "432-681-3100",
            "fax_number": "432-681-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "CHABACANA",
        "middle_name": "L",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-16",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "TX",
            "license": "707366",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP121185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "369055401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexia Matheus, PA-S
• Jerry Mathew
• Roy Mathew, MD
• Zeeba Mathews, MD
• John William Mathewson, MD
• Mashanda Eleah May, FNP
• Sheri L Mayo, PA-C
• Bart R Mayron, MD
• Hannah Janae Earley Mays, PA-S
• Mayta Health Systems LLC

• Nurse Practitioner in Midland, TX
• Providers in Midland, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.