Active NPI
Terance CHI
- Registered Nurse
- Milwaukee, WI
National Provider Identifier
1225367402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 169893
- Practice address
- 1672 S 9TH St
Milwaukee, WI 53204-3426 - Phone
- (414) 645-9711
- Fax
- (414) 645-9211
- NPI assigned
- Dec 16, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9139 | WI | |
| Registered Nurse | 163W00000X | 169893 | WI | Primary |
Addresses
Primary practice location
1672 S 9TH St
Milwaukee, WI 53204-3426
Mailing address
235 Southtowne Dr Apt D203
S Milwaukee, WI 53172-4145
Phone (414) 793-7189
Other practice location 1
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 805-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- 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 |
|---|---|---|---|---|
| I20190528002667 | WI | Practitioner - Nurse Practitioner | 4688917057 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 169893 | WI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compassionate Doctors Inc | Current | Accepting new patients | |
| Paramount Family Clinic, LLC | Family | Current | Accepting new patients |
Locations
1672 S 9th St
Milwaukee, WI 53204
Phone (414) 389-1539
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": "1260921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559174400000",
"number": "1225367402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 SOUTHTOWNE DR APT D203",
"city": "S MILWAUKEE",
"state": "WI",
"postal_code": "531724145",
"telephone_number": "414-793-7189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1672 S 9TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532043426",
"telephone_number": "414-645-9711",
"fax_number": "414-645-9211"
}
],
"practiceLocations": [
{
"address_1": "9200 W Wisconsin Ave",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532263522",
"country_code": "US",
"telephone_number": "414-805-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHI",
"first_name": "TERANCE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-16",
"last_updated": "2019-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "9139",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "169893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.