Active NPI
Daniel Harry Chase
- Nurse Practitioner
- Fort Wainwright, AK
National Provider Identifier
1164032397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN2317489
- Practice address
- 4076 Neely Road
Fort Wainwright, AK 99703 - Phone
- (803) 751-2160
- NPI assigned
- Aug 3, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | RN2317489 | MA | |
| Nurse Practitioner | 363L00000X | APRN02411 | RI | |
| Nurse Practitioner | 363L00000X | RN2317489 | MA | Primary |
Addresses
Primary practice location
4076 Neely Road
Fort Wainwright, AK 99703
Mailing address
274 Hawthorne St
Fall River, MA 02721-3108
Other practice location 1
274 Hawthorne St
Fall River, MA 02721-3108
Phone (774) 437-1534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201210002952 | MA | Practitioner - Nurse Practitioner | 1355753518 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2317489 | MA | MD | Emergency Registered Nurse |
| APRN02411 | RI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carecentral Urgent Care Medical Group PC | Current | Accepting new patients | |
| Carecentral Urgent Care Medical Group PC | Current | Accepting new patients |
Locations
233 Broad St
Bridgewater, MA 02324
Phone (508) 697-2564
286 Washington St
Stoughton, MA 02072
Phone (781) 341-2800
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- Halifax, MA
- NPI 1053119677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1164032397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "274 HAWTHORNE ST",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027213108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4076 NEELY ROAD",
"city": "FORT WAINWRIGHT",
"state": "AK",
"postal_code": "99703",
"telephone_number": "803-751-2160"
}
],
"practiceLocations": [
{
"address_1": "274 Hawthorne St",
"address_purpose": "LOCATION",
"city": "Fall River",
"state": "MA",
"postal_code": "027213108",
"country_code": "US",
"telephone_number": "774-437-1534",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHASE",
"first_name": "DANIEL",
"middle_name": "HARRY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-03",
"last_updated": "2025-07-17",
"certification_date": "2025-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "MA",
"license": "RN2317489",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "RI",
"license": "APRN02411",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN2317489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wainwright, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.