Jeanne A Chase, FNP
Individual provider Active NPI Family Nurse Practitioner · Stanford, KY
NPI 1487799516 · NPPES record last updated Jul 7, 2014
Key facts
- NPI
- 1487799516
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2918P (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- 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 |
|---|---|---|---|---|
| I20090724000417 | KY | Practitioner - Nurse Practitioner | 0446303366 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2918P | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bates Miller & Sims PLLC | Current |
Accepting new patients | |
| Waynesburg Clinic, PLLC | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2918P | KY | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78005998 | Medicaid | KY |
Other providers in Stanford, KY
- Tracy Michele Boller
- Kacie Danielle Brogle
- Megan E Brown
- Central Kentucky Diagnostic Center, LLC
- Central Kentucky Family Vision PLLC
- Renee Chiu
- Spenser Claiborne
- Haley Clark
- C. Glen Click
- Shannah Click
All providers in Stanford, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2014. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.