Individual provider Active NPI

Jennifer Chaikcic, CRNP

  • Family Nurse Practitioner
  • Uniontown, PA
National Provider Identifier
1306387964
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP017311 Issued in PA
Practice address
205 Easy St
Suite 204
Uniontown, PA 15401-3128
Phone
(724) 812-5580
NPI assigned
Mar 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP017311 PA Primary

Addresses

Primary practice location

205 Easy St
Suite 204
Uniontown, PA 15401-3128

Mailing address

205 Easy St
Suite 204
Uniontown, PA 15401-3128
Phone (724) 812-5580

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP017311PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fayette Physician Network Inc CurrentSince Dec 18, 2017 Accepting new patients
Fayette Physician Network Inc Family CurrentSince Dec 18, 2017 Accepting new patients

Locations

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

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": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1306387964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 EASY ST",
            "address_2": "SUITE 204",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154013128",
            "telephone_number": "724-812-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 EASY ST",
            "address_2": "SUITE 204",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154013128",
            "telephone_number": "724-812-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAIKCIC",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

Verify at the official NPI Registry.