Individual provider Active NPI

Daniel Harry Chase

  • Nurse Practitioner
  • Fort Wainwright, AK
National Provider Identifier
1164032397
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2317489 Issued in MA
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

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
RN2317489MAMDEmergency Registered Nurse
APRN02411RIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carecentral Urgent Care Medical Group PC CurrentSince Nov 1, 2020 Accepting new patients
Carecentral Urgent Care Medical Group PC CurrentSince Nov 1, 2020 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.

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

Verify at the official NPI Registry.