Individual provider Active NPI

Ifan Chen, ARNP

  • Family Medicine Physician
  • South Sioux City, NE
National Provider Identifier
1346235199
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
44883 Issued in KS
Practice address
501 1St Ave
South Sioux City, NE 68776-1703
Phone
(402) 494-3064
Fax
(712) 294-7829
NPI assigned
Sep 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 44883 KS Primary

Addresses

Primary practice location

501 1St Ave
South Sioux City, NE 68776-1703

Mailing address

501 1St Ave
South Sioux City, NE 68776-1703
Phone (402) 494-3064

Other identifiers 2

IdentifierTypeStateIssuer
160575OtherKSBC/BS ID NUMBER
44883OtherKSARNP LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ifan.chen.p20@direct.trinity-healthiowa.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE, SD3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20111208000084 IA Practitioner - Nurse Practitioner 4981889250
I20230112000925 NE Practitioner - Nurse Practitioner 4981889250
I20241218002193 SD Practitioner - Nurse Practitioner 4981889250

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
82.54
Promoting interoperability
89.05
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Services Current Accepting new patients
Mercy Medical Services Current Accepting new patients
Plaza Medical Center, Inc Family Medicine Past Accepting new patients

Locations

240 N Rerick Ave
Primghar, IA 51245
Phone (712) 757-2310

801 5th St
Sioux City, IA 51101
Phone (712) 279-2010

501 1st Ave
South Sioux City, NE 68776
Phone (402) 494-3064

711 N Sioux Point Rd
Ste 100
Dakota Dunes, SD 57049
Phone (712) 222-7970

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17070/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ifan.chen.p20@direct.trinity-healthiowa.nextgenshare.com

Organizations & group practices 3

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1346235199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 1ST AVE",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687761703",
            "telephone_number": "402-494-3064",
            "fax_number": "712-294-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 1ST AVE",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687761703",
            "telephone_number": "402-494-3064",
            "fax_number": "712-294-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "IFAN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "44883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS ID NUMBER",
            "identifier": "160575",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP LICENSE NUMBER",
            "identifier": "44883",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ifan.chen.p20@direct.trinity-healthiowa.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "MercyOne West Iowa Direct Email Address",
            "address_1": "501 1st Ave",
            "city": "South Sioux City",
            "state": "NE",
            "country_code": "US",
            "postal_code": "687761703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Sioux City, NE

Sources for this page

Verify at the official NPI Registry.