Chase Family Health

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP4373 Issued in MN

Legal business name

CHASE FAMILY HEALTH

Practice address

104 Memory Lane
Battle Lake, MN 56515

Phone

(218) 862-4325

Fax

(218) 862-4326

NPI assigned

Oct 30, 2015

Organization subpart

No

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

Authorized official

Name

John Gerald Chase, D.C.NPI 1487661203

Title

Owner

Phone

(218) 862-4325

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Gerald Chase, APRN, CNP, DC

  • Family Nurse Practitioner
  • Battle Lake, MN
  • NPI 1487661203
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1235501180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "BATTLE LAKE",
            "state": "MN",
            "postal_code": "565150547",
            "telephone_number": "218-862-4325",
            "fax_number": "218-862-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MEMORY LANE",
            "city": "BATTLE LAKE",
            "state": "MN",
            "postal_code": "56515",
            "telephone_number": "218-862-4325",
            "fax_number": "218-862-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHASE FAMILY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-862-4325",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "CNP4373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE REGISTRATION CERTIFICATE",
            "identifier": "MC3782580",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Area Lakes Dental, LLC
• Battle Lake Chiropractic PA
• Battle Lake Family Dentistry
• Kelsey Bliss Brakke, MS, CCC-SLP
• Chase Chiropractic
• John Gerald Chase, APRN, CNP, DC
• Lisa Cole
• Amy Louise Cory, RPH
• Kiana Marie Deal, PA-C
• Scott Edward Ellingson, D.C.

• Family Nurse Practitioner in Battle Lake, MN
• Providers in Battle Lake, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.