Chastidy Mader, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71015638A Issued in IN

Practice address

308 W Pike Ave
Petersburg, IN 47567-8755

Phone

(812) 354-8834

NPI assigned

Jul 16, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Chastidy Haven Former name

Medicare fee-for-service enrollment

Enrolled in IN

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sound Physicians of Indiana LLCGroup PAC ID 4981841780, 76 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carefirst Rehab LLC Home health agency, Sellersburg, IN, CCN 157657

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sound Physicians of Indiana, LLC

  • Hospitalist Physician
  • Gary, IN
  • NPI 1528311149

  IN, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Haven'S Holistic Healing LLC

  • Primary Care Clinic/Center
  • Bloomington, IN
  • NPI 1902619604

  IN

  Medicare reassignment NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  IN, Nurse Practitioner

  Medicare reassignment NPD
• Sound Physicians of Indiana, LLC

  • Hospitalist Physician
  • Terre Haute, IN
  • NPI 1184063257
  NPD
• Sound Physicians of Indiana, LLC

  • Hospitalist Physician
  • Mishawaka, IN
  • NPI 1356687164
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Open Heart Homes, Inc

  • Licensed Practical Nurse
  • Indianapolis, IN
  • NPI 1861367161
  NPD (past)
• Transitions Health Network LLC

  • Internal Medicine Physician
  • Jeffersonville, IN
  • NPI 1336625706

  Family

  NPD (past)

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

• Carefirst Rehab LLC

  • Home Health Agency
  • Sellersburg, IN
  • NPI 1194011056
  Care Compare affiliation

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1407694375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 S WALNUT STREET PIKE APT B158",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474017369",
            "telephone_number": "812-322-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W PIKE AVE",
            "city": "PETERSBURG",
            "state": "IN",
            "postal_code": "475678755",
            "telephone_number": "812-354-8834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Stover Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462271553",
            "country_code": "US",
            "telephone_number": "315-909-1540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADER",
        "first_name": "CHASTIDY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28169520A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71015638A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1861367161",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHASTIDY",
            "last_name": "HAVEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mark A Luff, M.D.
• Joseph Clayton Martin, FNP-C
• Toni M Martin, N.P.
• Lynnette M Matteson, NP
• Kelsey Marie Myers, PHARMD
• Rachael Pancake, OTD, OTR/L

• Family Nurse Practitioner in Petersburg, IN
• Providers in Petersburg, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.