Individual provider Active NPI

Christopher Brian Mercene Chavez, CRNP, CCNS

  • Acute Care Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1366207052
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R227017 Issued in MD
Practice address
1800 Orleans St
Baltimore, MD 21287-0010
Phone
(443) 425-8421
NPI assigned
Feb 21, 2024
Last updated
Jul 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R227017 MD Primary
Acute Care Clinical Nurse Specialist 364SA2100X R227017 MD
Emergency Registered Nurse 163WE0003X R227017 MD

Addresses

Primary practice location

1800 Orleans St
Baltimore, MD 21287-0010

Mailing address

914 White Hawk CT
Baltimore, MD 21220-1768
Phone (443) 425-8421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20241205000829 MD Order and Referring Only - Nurse Practitioner 0446786180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R227017MDMDEmergency Registered Nurse

Interoperability endpoints

  • Direct secure messaging: cchavez387119@direct.hopkinsmedicine.org

NPI Registry JSON

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1366207052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 WHITE HAWK CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212201768",
            "telephone_number": "443-425-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 ORLEANS ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212870010",
            "telephone_number": "443-425-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "CHRISTOPHER BRIAN",
        "middle_name": "MERCENE",
        "credential": "CRNP, CCNS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R227017",
            "primary": true
        },
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "MD",
            "license": "R227017",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "MD",
            "license": "R227017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.