Marcetta R. Chancey, ARNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Fort Novosel, AL
NPI 1386917854 · NPPES record last updated Dec 30, 2024
Key facts
- NPI
- 1386917854
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- AP60593283 (WA)
- Practice address
- 301 Andrews Avenue
Lyster Army Health Clinic
Fort Novosel, AL 36362-5333 - Phone
- (334) 255-7028
- Fax
- (334) 255-7210
- NPI assigned
- Feb 14, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60593283 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP60593283 | WA | Yes |
Addresses
Primary practice location
301 Andrews Avenue
Lyster Army Health Clinic
Fort Novosel, AL 36362-5333
Mailing address
301 Andrews Avenue
Lyster Army Health Clinic
Fort Rucker, AL 36362-5333
Phone (800) 261-7193
Other providers in Fort Novosel, AL
- Brianna Adrien
- Ahc Lyster-Rucker
- Jinyong Bae
- Maria M. Craig
- Brandy Allison Dunn
- Maxwell Geoff Gunn
- Julie Harriss
- Brian Luis Jimenez
All providers in Fort Novosel, AL · Psychiatric/Mental Health Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.