Chandler Mackenzie Davis, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704339158 Issued in MI

Practice address

1064 W Cedar St
Standish, MI 48658-9421

Phone

(989) 654-2491

NPI assigned

Jun 5, 2024

Last updated

Oct 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Chandler Mackenzie Knickerbocker Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sterling Area Health CenterGroup PAC ID 3577560846, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Mary's Standish Community Hospital Hospital, Standish, MI, CCN 231305

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chandler.knickerbocker.p1@direct.sterlinghealth.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sterling Area Health Center

  • Federally Qualified Health Center (FQHC)
  • Sterling, MI
  • NPI 1477538239
  Medicare reassignment Care Compare group NPD
• Sterling Area Health Center

  dba Surline School Wellness Program

  • Federally Qualified Health Center (FQHC)
  • West Branch, MI
  • NPI 1588559421
  NPD
• Sterling Area Health Center

  • Federally Qualified Health Center (FQHC)
  • Standish, MI
  • NPI 1609585991
  NPD
• Mymichigan Medical Center Standish

  • Critical Access Hospital
  • Standish, MI
  • NPI 1659465094
  NPD (past)
• Sterling Area Health Center

  • Federally Qualified Health Center (FQHC)
  • Alger, MI
  • NPI 1689659450
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mymichigan Medical Center Standish

  • Critical Access Hospital
  • Standish, MI
  • NPI 1659465094
  Care Compare affiliation

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1326889148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2877 E COGGINS RD",
            "city": "PINCONNING",
            "state": "MI",
            "postal_code": "486509750",
            "telephone_number": "810-347-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 W CEDAR ST",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "486589421",
            "telephone_number": "989-654-2491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 E State St",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "MI",
            "postal_code": "486599548",
            "country_code": "US",
            "telephone_number": "989-654-2491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHANDLER",
        "middle_name": "MACKENZIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704339158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANDLER",
            "last_name": "KNICKERBOCKER",
            "middle_name": "MACKENZIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen Collins
• Keith Alan Crittenden Sr., ARRT R (R)(CT)
• Allen Robert Croutch
• Tricia Curtis, LMSW
• Sharol Dantzer
• Kendall Rene Dessenberger
• Todd Dewell
• Ashli Noelle Donahue, DMD
• Alicia Marie Douglas
• Bree-Ann Christine Dowd

• Family Nurse Practitioner in Standish, MI
• Providers in Standish, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.
• 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.