Individual provider Active NPI

CHI-Yuan Chen

  • Psychiatric/Mental Health Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1174299853
Registry record updated Mar 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
403615 Issued in NY
Practice address
5102 Oak Park Rd Unit a
Raleigh, NC 27612-3027
Phone
(704) 218-9914
Fax
(334) 326-8071
NPI assigned
Aug 21, 2021
Last updated
Mar 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 403615 NY Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5021042 NC

Addresses

Primary practice location

5102 Oak Park Rd Unit a
Raleigh, NC 27612-3027

Mailing address

5102 Oak Park Rd Unit a
Raleigh, NC 27612-3027
Phone (704) 218-9914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VT, NC, FL4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20220302000231 NY Practitioner - Nurse Practitioner 3779977004 Reassigns benefits to 3 organizations
I20240909003358 VT Practitioner - Nurse Practitioner 3779977004 Reassigns benefits to 1 organization
I20250206002945 NC Practitioner - Nurse Practitioner 3779977004 Reassigns benefits to 1 organization
I20251008000954 FL Practitioner - Nurse Practitioner 3779977004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connect RF Medicine PLLCGroup PAC ID 0941731160, 2 clinicians

Practice addresses (Care Compare)

1216 Broadway
New York, NY 10001-4483
Phone (646) 688-3540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Nov 27, 2024 Accepting new patients
Valera Medical, P.C. Psychiatric/Mental Health CurrentSince Feb 1, 2022 Accepting new patients
Valera Medical, P.a. Psychiatric/Mental Health CurrentSince Aug 22, 2024 Accepting new patients
Only-Connect Psychological Services PLLC PastSince Jul 1, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

134 N 4th St
Brooklyn, NY 11249

134 N 4th St
Ofc 2010
Brooklyn, NY 11249
Phone (201) 862-8175

139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

1 Lawson Ln
Ste 200D
Burlington, VT 05401
Phone (802) 236-6742

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1629504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773446400000",
    "number": "1174299853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 OAK PARK RD UNIT A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123027",
            "telephone_number": "704-218-9914",
            "fax_number": "334-326-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 OAK PARK RD UNIT A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123027",
            "telephone_number": "704-218-9914",
            "fax_number": "334-326-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "CHI-YUAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-21",
        "last_updated": "2026-03-14",
        "certification_date": "2026-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403615",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5021042",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.