Mary Lou Chappell, NP CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

F000976 Issued in NY

Practice address

143 North St
Suite #4
Auburn, NY 13021-1852

Phone

(315) 252-5028

Fax

(315) 252-1587

NPI assigned

Nov 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Auburn Community Hospital

  • General Acute Care Hospital
  • Auburn, NY
  • NPI 1093712911
  NPD
• Auburn Community Hospital

  • Internal Medicine Physician
  • Auburn, NY
  • NPI 1336855683
  NPD
• Auburn Memorial Medical Services, PC

  • Orthopaedic Surgery Physician
  • Auburn, NY
  • NPI 1194913749
  NPD
• Auburn Memorial Medical Services, PC

  • Foot & Ankle Surgery Podiatrist
  • Auburn, NY
  • NPI 1467151852
  NPD

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311033600000",
    "number": "1194899476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LANSING ST",
            "address_2": "AMMS, PC CREDENTIALING OFFICE",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211983",
            "telephone_number": "315-255-7438",
            "fax_number": "315-255-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 NORTH ST",
            "address_2": "SUITE #4",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211852",
            "telephone_number": "315-252-5028",
            "fax_number": "315-252-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPPELL",
        "first_name": "MARY LOU",
        "credential": "NP CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2011-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "307356-1",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F420219-1",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F000976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03063027",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cayuga Seneca Community Action Agency, Inc.
• Richard Bates Chaffee Jr., D.D.S.
• Dorothy Ann Chalker, BSN
• Erin Chalupnicki, ANP
• Kathryn Anne Chambers, MSNANP
• Charbel Ghosn DMD PLLC
• Jessica L Charbonneau, LCSW
• Payton Aurora Charles
• Philip Chebaya, MD
• Joanne E Chekansky, NP

• Advanced Practice Midwife in Auburn, NY
• Providers in Auburn, NY by specialty
• Advanced Practice Midwife in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.

Verify at the official NPI Registry.