Chanel Herbertz

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71007579 Issued in IN

Practice address

5026 W US 52
New Palestine, IN 46163

Phone

(317) 861-4838

NPI assigned

Jan 30, 2017

Last updated

Dec 2, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1265979108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10610 PENTECOST RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462399433",
            "telephone_number": "317-370-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5026 W US 52",
            "city": "NEW PALESTINE",
            "state": "IN",
            "postal_code": "46163",
            "telephone_number": "317-861-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBERTZ",
        "first_name": "CHANEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-30",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28209345A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amita Giri
• Tiffany Hall
• Judith Ann Hamrock, LMHC
• Hancock Regional Hospital (Hancock Well-Being at Work - New Palestine)
• Heavenly Hospice Care
• Abbe Hershberger
• Lance Hilton, DC
• Richard Lance Hilton, D.C.
• Holly Homan Counseling
• Neache Hood

• Family Nurse Practitioner in New Palestine, IN
• Providers in New Palestine, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.

Verify at the official NPI Registry.