Cieja Chapman, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Tyler, TX
NPI 1154833713 · NPPES record last updated Nov 3, 2017
Key facts
- NPI
- 1154833713
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- AP135629 (TX)
- Practice address
- 2323 W Front St
Tyler, TX 75702-7704 - Phone
- (903) 597-1351
- NPI assigned
- Nov 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Health and Human Services Commission
Practice addresses (Care Compare)
805 N Dickinson Dr
Rusk State Hospital
Rusk, TX 75785-1006
Phone (903) 683-3421
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20180309000176 | TX | Practitioner - Nurse Practitioner | 6507127412 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP135629 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrews Center -Pinkerton | Current |
Accepting new patients | |
| Andrews Center | Current |
Accepting new patients | |
| Health and Human Services Commission | Current |
Accepting new patients | |
| Andrews Center | Current | Accepting new patients | |
| Health and Human Services Commission | Current |
Accepting new patients | |
| Health and Human Services Commission | Current | Accepting new patients | |
| Andrews Center - Elliott St | Past | Accepting new patients |
Locations
1738 Elliot Dr
Canton, TX 75103
Phone (903) 597-5067
703 W Patten St
Mineola, TX 75773
Phone (903) 569-5409
805 N Dickinson Dr
Rusk, TX 75785
Phone (903) 683-7201
2323 W Front St
Tyler, TX 75702
Phone (903) 535-7355
1722 W Front St
Tyler, TX 75702
Phone (903) 593-4004
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP135629 | TX | Yes |
Addresses
Primary practice location
2323 W Front St
Tyler, TX 75702-7704
Mailing address
2323 W Front St
Tyler, TX 75702-7704
Other providers in Tyler, TX
- Michael Shang Chao
- Josue Chaparro Zubia
- Chapel Hill Isd
- Chapel Hill Pharmacy LTD
- Ora Denise Chapman-Vaughn
- Jayden Jesse Chapman
- Katherine Chapman
- Roger Bryan Chapman
- Tracy Chapman
- Amy Lynn Chapmond
All providers in Tyler, TX · Psychiatric/Mental Health Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2017. 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.