Carlos Chacon, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1131572 Issued in AL

Practice address

2986 US Highway 431
Boaz, AL 35957-5848

Phone

(256) 840-8181

Fax

(256) 744-7290

NPI assigned

Nov 16, 2016

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehab Services Group LLCGroup PAC ID 4880061787, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marshall Medical Centers Hospital, Boaz, AL, CCN 010005

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rehab Services Group LLC

  • Family Medicine Physician
  • Crossville, AL
  • NPI 1467180885
  Medicare reassignment Care Compare group NPD
• Medical Asset Group, LLC

  • Family Medicine Physician
  • Crossville, AL
  • NPI 1720595762
  Medicare reassignment NPD
• Medical Asset Group, LLC

  • Family Medicine Physician
  • Albertville, AL
  • NPI 1194232132
  NPD

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

• HH Health System - Marshall LLC

  dba Marshall Medical Center

  • General Acute Care Hospital
  • Boaz, AL
  • NPI 1407313760
  Care Compare affiliation

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1477095883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 697",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359570697",
            "telephone_number": "256-840-8181",
            "fax_number": "256-744-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2986 US HIGHWAY 431",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359575848",
            "telephone_number": "256-840-8181",
            "fax_number": "256-744-7290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3442 US Highway 431",
            "address_purpose": "LOCATION",
            "city": "Albertville",
            "state": "AL",
            "postal_code": "359500203",
            "country_code": "US",
            "telephone_number": "256-593-1234 x111",
            "fax_number": "256-593-6781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHACON",
        "first_name": "CARLOS",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1131572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Campos, FNP-BC
• Carole Fuller Edmonds, DMD
• Jenna Carpenter, D.O.
• Katherine Casey, NP
• Central Alabama Emergency Physicians, LLC
• Mark H Christensen, M.D.
• Andrew Russell Christie, D.O.
• Jessica Cieszkowski, OD
• City of Boaz (Boaz Fire & Rescue)
• Hollie Claburn, CRNP

• Family Nurse Practitioner in Boaz, AL
• Providers in Boaz, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.