Chad Derrick Macnaughton, DC, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F348808-01 Issued in NY

Practice address

13 Chester St
Glens Falls, NY 12801-2913

Phone

(518) 223-0331

Fax

(518) 223-0331

NPI assigned

Oct 20, 2006

Last updated

Jan 4, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 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 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Koumanis Medical PLLCGroup PAC ID 5799226197, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Glens Falls Hospital Hospital, Glens Falls, NY, CCN 330191

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chadmacnaughtonnp@adktotalcare.medentdirect.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.

• Koumanis Medical, PLLC

  • Plastic Surgery Physician
  • Queensbury, NY
  • NPI 1558192211
  Medicare reassignment Care Compare group NPD Authorized official
• Macnaughton Chiropractic, PLLC

  dba Back in Balance Health and Wellness Center

  • Chiropractor
  • Glen Falls, NY
  • NPI 1508165580
  Medicare reassignment Authorized official
• Medical Pain Management Services, PLLC

  dba The Albany Center for Pain Mgmt

  • Pain Medicine (Anesthesiology) Physician
  • Albany, NY
  • NPI 1215981261
  Medicare reassignment NPD
• Capital Area Plastic Surgery, PLLC

  • Specialist
  • Saratoga Springs, NY
  • NPI 1124327341
  NPD (past)
• Sand Creek Medical PC

  • Specialist
  • Albany, NY
  • NPI 1275624900
  NPD (past)

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

• Glens Falls Hospital Inc

  • General Acute Care Hospital
  • Glens Falls, NY
  • NPI 1871606764
  Care Compare affiliation

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1376625079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 CHESTER ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012913",
            "telephone_number": "518-223-0331",
            "fax_number": "518-223-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 CHESTER ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012913",
            "telephone_number": "518-223-0331",
            "fax_number": "518-223-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACNAUGHTON",
        "first_name": "CHAD",
        "middle_name": "DERRICK",
        "name_prefix": "Dr.",
        "credential": "DC, FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F348808-01",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0101611",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Lydon, RN
• Shannon Cain Lynch, LCSW
• Michelle Mabie
• Diane Marie Macdonnell, M.D.
• Katherine Ann Mackenzie, LAC
• Raymond A Maddocks, MD
• Rebecca Barber Mahar, RD, CDN, CDE
• Harry Wallace Mahood Jr., MD
• Jaime Lynne Malek, FNP-C
• Christopher Malewicz, PA

• Family Nurse Practitioner in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.