Individual provider Active NPI

Chezlynn Dee Chinavare, NP

  • Family Nurse Practitioner
  • Stanwood, MI
National Provider Identifier
1386358935
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704217293 Issued in MI
Practice address
8354 100TH Ave Ste 1
Stanwood, MI 49346-8345
Phone
(231) 972-6000
NPI assigned
Jan 9, 2023
Last updated
Dec 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704217293 MI Primary

Addresses

Primary practice location

8354 100TH Ave Ste 1
Stanwood, MI 49346-8345

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20231115000167 MI Practitioner - Nurse Practitioner 0446607329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

61 W Carleton Rd
Hillsdale, MI 49242-1201
Phone (517) 439-5411

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Branch County CurrentSince Mar 20, 2024 Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Regio T Penna MD, PC Current Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Community Health Center of Branch County CurrentSince Mar 20, 2024 Accepting new patients
Hillsdale Community Health Center CurrentSince Mar 27, 2025 Accepting new patients
Hillsdale Community Health Center CurrentSince Mar 27, 2025 Accepting new patients
Mecosta County Medical Center PastSince Dec 24, 2023 Accepting new patients

Locations

274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400

360 E Chicago St
Ste 111
Coldwater, MI 49036
Phone (517) 278-0910

168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451

240 W Carleton Rd
Hillsdale, MI 49242
Phone (517) 437-7040

61 W Carleton Rd
Hillsdale, MI 49242
Phone (517) 437-5020

Interoperability endpoints

  • Direct secure messaging: cchinavare314752@direct.promedica.org
  • Direct secure messaging: cchinavare676838@direct.parkviewexchange.com

Organizations & group practices 8

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 3

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": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1386358935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8354 100TH AVE STE 1",
            "city": "STANWOOD",
            "state": "MI",
            "postal_code": "493468345",
            "telephone_number": "231-972-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINAVARE",
        "first_name": "CHEZLYNN",
        "middle_name": "DEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704217293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanwood, MI

Sources for this page

Verify at the official NPI Registry.