Individual provider Active NPI

Stephanie Melissa Chambers, N.P

  • Family Nurse Practitioner
  • Mount Vernon, NY
National Provider Identifier
1437467743
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F336252 Issued in NY
Practice address
105 Stevens Ave Ste 408
Mount Vernon, NY 10550-2680
Phone
(718) 704-0907
Fax
(888) 489-1787
NPI assigned
Sep 21, 2010
Last updated
Dec 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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 F336252 NY Primary

Addresses

Primary practice location

105 Stevens Ave Ste 408
Mount Vernon, NY 10550-2680

Mailing address

105 Stevens Ave Ste 408
Mount Vernon, NY 10550-2680
Phone (718) 704-0907

Other practice location 1

225 Veterans Road
Mount Kisco Medical Group PC
Yorktown Hts, NY 10598
Phone (914) 302-8060

Other names 1

  • Stephanie Melissa Chambers-Graves Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20101028000741 NY Practitioner - Nurse Practitioner 9133313612 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F336252NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Apr 1, 2012 Accepting new patients
Montefiore Medical Center CurrentSince Sep 14, 2012 Accepting new patients
Montefiore Medical Center CurrentSince Sep 14, 2012 Accepting new patients
Patient First Medical Practice PC CurrentSince May 31, 2023 Accepting new patients
Doctors United, Inc CurrentSince Jan 27, 2024 Accepting new patients
Medical Director Services PC CurrentSince Nov 10, 2022 Accepting new patients
Optum Medical Care, P.C. CurrentSince Apr 1, 2012 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

174 Grand St
White Plains, NY 10601
Phone (718) 220-8293

176 Grand St
White Plains, NY 10601
Phone (914) 328-6080

225 Veterans Rd
Yorktown Hts, NY 10598
Phone (914) 245-6800

Philadelphia, PA 19195

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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.

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1437467743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 STEVENS AVE STE 408",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502680",
            "telephone_number": "718-704-0907",
            "fax_number": "888-489-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 STEVENS AVE STE 408",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502680",
            "telephone_number": "718-704-0907",
            "fax_number": "888-489-1787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Veterans Road",
            "address_2": "Mount Kisco Medical Group PC",
            "address_purpose": "LOCATION",
            "city": "Yorktown Hts",
            "state": "NY",
            "postal_code": "10598",
            "country_code": "US",
            "telephone_number": "914-302-8060",
            "fax_number": "914-455-2980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "STEPHANIE",
        "middle_name": "MELISSA",
        "credential": "N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-21",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F336252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "CHAMBERS-GRAVES",
            "middle_name": "MELISSA",
            "credential": "N.P",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mount Vernon, NY

Sources for this page

Verify at the official NPI Registry.