Individual provider Active NPI

Aimmee Rochelle Chestang, NP

  • Nurse Practitioner
  • Sumrall, MS
National Provider Identifier
1437797602
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
903721 Issued in MS
Practice address
33 Chastain LN
Sumrall, MS 39482-7004
Phone
(601) 807-0921
NPI assigned
Dec 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 903721 MS Primary

Addresses

Primary practice location

33 Chastain LN
Sumrall, MS 39482-7004

Mailing address

33 Chastain LN
Sumrall, MS 39482-7004
Phone (601) 807-0921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20200214000915 MS Practitioner - Nurse Practitioner 0446686299 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Health Care , LLCGroup PAC ID 4789740044, 4 clinicians

Practice addresses (Care Compare)

300 Cahal St
Hattiesburg, MS 39401-2922
Phone (601) 550-3153

6766 U S Hwy 98
Hattiesburg, MS 39402-8443
Phone (601) 550-3153

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Collins, MS, CCN 257087
  • Jefferson Davis Community Hospital Cah Hospital, Prentiss, MS, CCN 251326
  • Marion General Hospital Hospital, Columbia, MS, CCN 250085

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Health Care , LLC CurrentSince Nov 18, 2019 Accepting new patients
Integrated Health & Wellness Solutions Nurse Practitioner Current Accepting new patients
Conx Care Corporation Past Accepting new patients

Locations

4297 Hwy 42
Bassfield, MS 39421
Phone (601) 943-5060

15 Keystone Dr
Ste E
Hattiesburg, MS 39402
Phone (601) 606-6326

300 Cahal St
Hattiesburg, MS 39401
Phone (601) 582-9157

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8276/brand/1/csg/1/fhir/r4
  • Direct secure messaging: aimmee.chestang.1@8276.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1437797602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CHASTAIN LN",
            "city": "SUMRALL",
            "state": "MS",
            "postal_code": "394827004",
            "telephone_number": "601-807-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CHASTAIN LN",
            "city": "SUMRALL",
            "state": "MS",
            "postal_code": "394827004",
            "telephone_number": "601-807-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESTANG",
        "first_name": "AIMMEE",
        "middle_name": "ROCHELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "903721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumrall, MS

Sources for this page

Verify at the official NPI Registry.