Vivian Dianne Chance, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A-078156 Issued in IA

Practice address

405 S Clark St
Suite 215
Carroll, IA 51401-3065

Phone

(712) 792-4368

Fax

(712) 792-2056

NPI assigned

Oct 30, 2009

Last updated

Oct 30, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Audubon County Memorial HospitalGroup PAC ID 7618866096, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carroll Area Nursing Services Home health agency, Carroll, IA, CCN 167213
• Audubon County Memorial Hospital Hospital, Audubon, IA, CCN 161330
• Cass County Memorial Hospital Hospital, Atlantic, IA, CCN 161376
• St Anthony Regional Hospital & Nursing Home Hospital, Carroll, IA, CCN 161382
• Friendship Home Association Nursing home, Audubon, IA, CCN 165232

Merit-based Incentive Payment System (MIPS)

Final score

92.09 of 100Reported as group

Quality

92.17

Promoting interoperability

88

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.236
• Direct secure messaging: vchance223531@uihcdirect.org

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.

• Audubon County Memorial Hospital

  • Emergency Medicine Physician
  • Audubon, IA
  • NPI 1730153420
  Medicare reassignment Care Compare group NPD
• Vivian D Chance Arnp LLC

  dba Audubon Medical Clinic

  • Family Nurse Practitioner
  • Audubon, IA
  • NPI 1770995565
  NPD (past) Authorized official
• Wellendorf ENT, P.C.

  • Otolaryngology Physician
  • Carroll, IA
  • NPI 1740494244
  NPD (past)
• Western Iowa Surgery Inc

  • Surgery Physician
  • Carroll, IA
  • NPI 1073713111
  NPD (past)

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

• Audubon County Memorial Hospital

  • Critical Access Hospital
  • Audubon, IA
  • NPI 1710951686
  Care Compare affiliation
• Carroll Area Nursing Service, Inc.

  • Home Health Agency
  • Carroll, IA
  • NPI 1336131135
  Care Compare affiliation
• Cass County Memorial Hospital

  • Critical Access Hospital
  • Atlantic, IA
  • NPI 1093760944
  Care Compare affiliation
• Friendship Home Association

  • Skilled Nursing Facility
  • Audubon, IA
  • NPI 1912998741

  Nursing home

  Care Compare affiliation
• St Anthony Regional Hospital and Nursing Home

  • Critical Access Hospital
  • Carroll, IA
  • NPI 1720067127
  Care Compare affiliation

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256860800000",
    "number": "1396071015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S CLARK ST",
            "address_2": "SUITE 215",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013065",
            "telephone_number": "712-792-4368",
            "fax_number": "712-792-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S CLARK ST",
            "address_2": "SUITE 215",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514013065",
            "telephone_number": "712-792-4368",
            "fax_number": "712-792-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANCE",
        "first_name": "VIVIAN",
        "middle_name": "DIANNE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-30",
        "last_updated": "2009-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A-078156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carroll Family Chiropractic Center
• Andrea Carrothers
• Toni Castillo
• Elizabeth Cates, MA
• Centers for Long Term Care of Iowa, Inc (CLC Carroll)
• Drue Chandler, CRNA
• Mary M Cheboski, D.C.
• Karla Kay Cheney, MD
• Christensen Chiropractic Clinic, P.C.
• Michael Jon Christensen, D.C., F.I.A.M.A.

• Family Nurse Practitioner in Carroll, IA
• Providers in Carroll, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; 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.