Kensy Chavez, APRN FNP-C
Individual provider Active NPI Family Nurse Practitioner · Wilton Manors, FL
NPI 1457084436 · NPPES record last updated Mar 7, 2024
Key facts
- NPI
- 1457084436
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 11020637 (FL)
- Practice address
- 1401 NE 26TH St
Wilton Manors, FL 33305-1321 - Phone
- (954) 765-6239
- Fax
- (954) 827-7780
- NPI assigned
- Jul 6, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1401 NE 26TH St
Wilton Manors, FL 33305-1321
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230424003080 | FL | Practitioner - Nurse Practitioner | 5597135269 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11020637 | FL | MD | Family Nurse Practitioner |
Interoperability endpoints
- kensy.chavez.1@26676.direct.athenahealth.com
- https://api.platform.athenahealth.com/26676/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 11020637 | FL | Yes |
Addresses
Primary practice location
1401 NE 26TH St
Wilton Manors, FL 33305-1321
Mailing address
739 NW 112TH St
Miami, FL 33168-2240
Other providers in Wilton Manors, FL
- Catholic Charities of the Archdiocese of Miami, Inc.
- Allison Cavanaugh
- Kenel Cazeau
- Jason Ceavers
- John Chaffin
- Cherise Mizrahi-Levi DO PA
- Judith Renee Chin
- David James Clapp
- Brad Clark
- Tommy Lee Cline
All providers in Wilton Manors, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.