Individual provider Active NPI

Chester Nay, PA-C

  • Physician Assistant
  • Vandalia, IL
National Provider Identifier
1427418607
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085005770 Issued in IL
Practice address
1510 Sunset Dr
Vandalia, IL 62471-3228
Phone
(618) 283-3144
Fax
(618) 283-3194
NPI assigned
Mar 1, 2016
Last updated
Mar 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085005770 IL Primary

Addresses

Primary practice location

1510 Sunset Dr
Vandalia, IL 62471-3228

Mailing address

1510 Sunset Dr
Vandalia, IL 62471-3228
Phone (618) 283-3144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20160606000253 IL Practitioner - Physician Assistant 9537459490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1510 Sunset Dr
Vandalia, IL 62471-3228
Phone (618) 283-3144

302 N Mill St
Greenup, IL 62428-1062
Phone (217) 923-3311

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as apm
Quality
69.5
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Illinois Healthcare Foundation, Inc. Physician Assistant CurrentSince Mar 30, 2016 Accepting new patients
Southern Illinois Healthcare Foundation Inc CurrentSince Mar 30, 2016 Accepting new patients
Major Hospital Past Accepting new patients
Southern Illinois Healthcare Foundation Inc Past Accepting new patients

Locations

302 N Mill St
Greenup, IL 62428
Phone (217) 923-3311

1510 Sunset Dr
Vandalia, IL 62471
Phone (618) 283-3144

Interoperability endpoints

  • Direct secure messaging: chester.nay.1@9559.direct.athenahealth.com

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": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1427418607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 SUNSET DR",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624713228",
            "telephone_number": "618-283-3144",
            "fax_number": "618-283-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 SUNSET DR",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "624713228",
            "telephone_number": "618-283-3144",
            "fax_number": "618-283-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAY",
        "first_name": "CHESTER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085005770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vandalia, IL

Sources for this page

Verify at the official NPI Registry.