Individual provider Active NPI

Chanin Hiland, APRN

  • Adult Health Nurse Practitioner
  • Eddyville, KY
National Provider Identifier
1376800250
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
3003618 Issued in KY
Practice address
627 W Fairview Ave
Eddyville, KY 42038-7386
Phone
(270) 388-5454
Fax
(270) 388-5452
NPI assigned
Apr 18, 2012
Last updated
Feb 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 3003618 KY Primary

Addresses

Primary practice location

627 W Fairview Ave
Eddyville, KY 42038-7386

Mailing address

627 W Fairview Ave
Eddyville, KY 42038-7386
Phone (270) 388-5454

Other identifiers 1

IdentifierTypeStateIssuer
7100446330MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20160318000679 KY Practitioner - Nurse Practitioner 9335446368 Reassigns benefits to 2 organizations
Practice locations: Eddyville, KY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians

Practice addresses (Care Compare)

2605 Kentucky Ave
Suite 502
Paducah, KY 42003-3804
Phone (270) 442-4830

403 W Fairview Ave
Eddyville, KY 42038-8259
Phone (270) 338-5454

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3003618KYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Feb 1, 2022 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 1, 2022 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Feb 1, 2022 Accepting new patients

Locations

96 Future Dr
Corbin, KY 40701

403 W Fairview Ave
Eddyville, KY 42038
Phone (270) 388-5454

627 W Fairview Ave
Eddyville, KY 42038
Phone (270) 388-5454

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

2605 Kentucky Ave
Ste 502
Paducah, KY 42003
Phone (270) 415-7015

605 S Jefferson St
Princeton, KY 42445
Phone (270) 365-2037

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1376800250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 W FAIRVIEW AVE",
            "city": "EDDYVILLE",
            "state": "KY",
            "postal_code": "420387386",
            "telephone_number": "270-388-5454",
            "fax_number": "270-388-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 W FAIRVIEW AVE",
            "city": "EDDYVILLE",
            "state": "KY",
            "postal_code": "420387386",
            "telephone_number": "270-388-5454",
            "fax_number": "270-388-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILAND",
        "first_name": "CHANIN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3003618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100446330",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eddyville, KY

Sources for this page

Verify at the official NPI Registry.