Individual provider Active NPI

Jeanne A Chase, FNP

  • Family Nurse Practitioner
  • Stanford, KY
National Provider Identifier
1487799516
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2918P Issued in KY
Practice address
107 Metker TRL
Suite a
Stanford, KY 40484-1049
Phone
(606) 365-8338
Fax
(606) 365-8142
NPI assigned
Feb 20, 2007
Last updated
Jul 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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 2918P KY Primary

Addresses

Primary practice location

107 Metker TRL
Suite a
Stanford, KY 40484-1049

Mailing address

107 Metker TRL
Suite a
Stanford, KY 40484-1049
Phone (606) 365-8338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20090724000417 KY Practitioner - Nurse Practitioner 0446303366 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2918PKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bates Miller & Sims PLLC CurrentSince Apr 1, 2024 Accepting new patients
Waynesburg Clinic, PLLC CurrentSince Apr 1, 2024 Accepting new patients
Physicians Express Care Billing Past Accepting new patients

Locations

100 Jay St
Stanford, KY 40484
Phone (606) 365-1547

14098 US Highway 27 S
Waynesburg, KY 40489
Phone (606) 379-6646

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, 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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1487799516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 METKER TRL",
            "address_2": "SUITE A",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "404841049",
            "telephone_number": "606-365-8338",
            "fax_number": "606-365-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 METKER TRL",
            "address_2": "SUITE A",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "404841049",
            "telephone_number": "606-365-8338",
            "fax_number": "606-365-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "JEANNE",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "2918P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, KY

Sources for this page

Verify at the official NPI Registry.