Individual provider Active NPI

Craig Carl Jochum, APRN, DC, D.A.C.B.N.

  • General Practice Physician
  • Stuart, FL
National Provider Identifier
1487780433
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
APRN11005504 Issued in FL
Practice address
676 SE Monterey Rd
Stuart, FL 34994-4410
Phone
(561) 686-0120
Fax
(561) 686-8073
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X CH9098 FL
Chiropractor 111N00000X CH9098 FL
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X CH9098 FL
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X APRN11005504 FL Primary

Addresses

Primary practice location

676 SE Monterey Rd
Stuart, FL 34994-4410

Mailing address

676 SE Monterey Rd
Stuart, FL 34994-4410
Phone (561) 686-0120

Other identifiers 2

IdentifierTypeStateIssuer
CH9098OtherFLCHIROPRACTOR
APRN11005504OtherFLNURSE PRACTITIONER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200211002668 FL Practitioner - Nurse Practitioner 0446335715 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Life Chiropractic PLLCGroup PAC ID 0345560520, 3 clinicians

Practice addresses (Care Compare)

518 SE Osceola St
Stuart, FL 34994-2322
Phone (954) 444-5358

8631 S US Hwy 1
Port Saint Lucie, FL 34952-3331

Hospital & facility affiliations

  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CH9098FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jochumaprn, LLC Single Specialty Current Accepting new patients
Advanced Spine & Joint Medical Center LLC Multi-Specialty CurrentSince Jan 4, 2020 Accepting new patients
Hope Health & Wellness Inc Chiropractor CurrentSince Jan 29, 2021 Accepting new patients
Hope Health and Wellness Inc Chiropractor PastSince May 31, 2020 Accepting new patients

Locations

208 NE 3rd Ave
Okeechobee, FL 34972
Phone (561) 296-1188

2845 N Military Trl
Ste 31
West Palm Beach, FL 33409
Phone 5616860120109

2845 N Military Trl
Ste C31
West Palm Beach, FL 33409
Phone (561) 581-8246

Organizations & group practices 5

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 1

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1487780433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 SE MONTEREY RD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944410",
            "telephone_number": "561-686-0120",
            "fax_number": "561-686-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 SE MONTEREY RD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944410",
            "telephone_number": "561-686-0120",
            "fax_number": "561-686-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOCHUM",
        "first_name": "CRAIG",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "APRN, DC, D.A.C.B.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "FL",
            "license": "CH9098",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9098",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "CH9098",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "APRN11005504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR",
            "identifier": "CH9098",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER",
            "identifier": "APRN11005504",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.