Chad Francom, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1784 Issued in NV

Practice address

925 Wells Avenue
W. Wendover, NV 89883-3520

Phone

(775) 664-2220

Fax

(775) 664-2965

NPI assigned

Nov 8, 2016

Sex

Male

Sole proprietor

No

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 NV

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

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premise Health of Nevada Medical Hinitt P CGroup PAC ID 7214822030, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chad.francom.1@15052.direct.athenahealth.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.

• Premise Health of Nevada Medical Hinitt P C

  • Family Medicine Physician
  • Winnemucca, NV
  • NPI 1437185105
  Medicare reassignment Care Compare group NPD (past)
• Premise Health of Nevada Medical Hinitt PC

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1649977067
  NPD
• Premise Health of Nevada Medical Hinitt PC

  • Family Medicine Physician
  • Elko, NV
  • NPI 1982708574
  NPD

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1154863173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 RESEARCH WAY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897067913",
            "telephone_number": "775-888-6610",
            "fax_number": "775-888-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 WELLS AVENUE",
            "city": "W. WENDOVER",
            "state": "NV",
            "postal_code": "898833520",
            "telephone_number": "775-664-2220",
            "fax_number": "775-664-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCOM",
        "first_name": "CHAD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA PA LICENSE",
            "identifier": "PA1784",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nevada Health Centers, Inc.

• Physician Assistant in W. Wendover, NV
• Providers in W. Wendover, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.