Anita Chacko, RNP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

699985 Issued in TX

Practice address

7441 Marvin D Love Fwy
Suite 300
Dallas, TX 75237-3490

Phone

(972) 572-1998

Fax

(972) 572-4842

NPI assigned

Jul 17, 2007

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

Medicare fee-for-service enrollment

Enrolled in TX

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Health Physicians PLLCGroup PAC ID 7810237740, 240 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Primary Health Physicians, PLLC

  • Urgent Care Clinic/Center
  • Denton, TX
  • NPI 1770048704

  TX

  Medicare reassignment Care Compare group NPD
• St. David'S Carenow Urgent Care PLLC

  • Family Medicine Physician
  • Austin, TX
  • NPI 1851844104

  TX

  Medicare reassignment NPD
• Athens Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • Palestine, TX
  • NPI 1073539144
  NPD (past)
• Harold Wagner DO PA

  • Geriatric Medicine (Family Medicine) Physician
  • Dallas, TX
  • NPI 1255438701
  NPD (past)
• Indelible Health & Wellness LLC

  • Family Medicine Physician
  • Grand Prairie, TX
  • NPI 1245569946
  NPD (past)
• Medcare House Calls LLC

  • Nurse Practitioner
  • Dallas, TX
  • NPI 1265694343
  NPD (past)
• Mesquite Physicians Group, PLLC

  • Emergency Medicine Physician
  • Mesquite, TX
  • NPI 1821397027
  NPD (past)
• Texas Em-1 Medical Services PA

  • Emergency Medicine Physician
  • Mesquite, TX
  • NPI 1659446193
  NPD (past)
• Versacare Inc.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1477575363
  NPD (past)

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1346449535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9696 SKILLMAN ST",
            "address_2": "SUITE 285 LB 42",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752438264",
            "telephone_number": "214-348-7611",
            "fax_number": "214-348-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7441 MARVIN D LOVE FWY",
            "address_2": "SUITE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373490",
            "telephone_number": "972-572-1998",
            "fax_number": "972-572-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHACKO",
        "first_name": "ANITA",
        "credential": "RNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "699985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Cha
• Jennifer Cha, MD, MS
• Joseph Shinin Cha, L.AC.
• Rana Adnan Chaaban
• Mayerlin Chacin
• Chelsea Chacko
• Manoj Chacko, BS
• Mathew Vadakkeveettil Chacko, PMHNP-BC
• Sarah Chacko, RN
• Sibi Chacko

• All providers in Dallas, TX
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.