Active NPI
Maldalena Patrice Chavis, CRNP
- Family Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP012415
- Practice address
- 161 Cecil B Moore Ave Apt 204
Philadelphia, PA 19122-3243 - Phone
- (866) 306-2026
- NPI assigned
- Sep 22, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP012415 | PA | Primary |
| Family Nurse Practitioner | 363LF0000X | APN.29822.APRN | SC | |
| Family Nurse Practitioner | 363LF0000X | APRN11039599 | FL | |
| Family Nurse Practitioner | 363LF0000X | 0024193620 | VA | |
| Family Nurse Practitioner | 363LF0000X | 14266 | CT | |
| Family Nurse Practitioner | 363LF0000X | 26NJ15356500 | NJ |
Addresses
Primary practice location
161 Cecil B Moore Ave Apt 204
Philadelphia, PA 19122-3243
Mailing address
3637 Old York Rd
Philadelphia, PA 19140-4229
Phone (215) 787-7441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Temple University School of Medicine, 2012
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
161 Cecil B Moore Ave
Apt 204
Philadelphia, PA 19122-3243
Phone (215) 585-2144
301 Smith Dr
Suite 1
Cranberry Township, PA 16066-4131
Phone (800) 805-6989
464 Herndon Pkwy
Suite 216
Herndon, VA 20170-5200
Phone (215) 585-2144
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11039599 | FL | MD | Family Nurse Practitioner |
| 26NJ15356500 | NJ | MD | Family Nurse Practitioner |
| APN.29822.APRN | SC | MD | Family Nurse Practitioner |
| 0024193620 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Health Management Corporation | Current | Accepting new patients | |
| Resources for Human Development, Inc. | Current | Accepting new patients | |
| Family Practice & Counseling Services Network, Inc. | Current | Accepting new patients | |
| Ophelia Medical Group, P.C. | Current | Accepting new patients | |
| Public Health Management Corporation | Current | Accepting new patients | |
| Ophelia Medical Group FL, P.a. | Current | Accepting new patients | |
| Ophelia Medical Group NJ PC | Current | Accepting new patients | |
| Public Health Management Corporation | Current | Accepting new patients | |
| Ars Treatment Centers, P.C. | Current | Accepting new patients | |
| Ars Treatment Centers, P.C. | Current | Accepting new patients | |
| Family Practice & Counseling Services Network, Inc. | Past | Accepting new patients | |
| Public Health Mangement Corporation | Past | Accepting new patients | |
| Mercy Management of Southeastern Pennsylvania | Past | Accepting new patients | |
| Ahsopc Therapy, PC | Past | Accepting new patients |
Locations
230 US Highway 206
Ste 4
Flanders, NJ 07836
228 Park Ave S
New York, NY 10003
Phone (215) 588-2144
3050 Hamilton Blvd
Ste 220B
Allentown, PA 18103
220 S Main St
Ste A
Butler, PA 16001
301 Smith Dr
Ste 1
Cranberry Twp, PA 16066
125 E Otterman St
Greensburg, PA 15601
Phone (724) 309-8949
3824 Northern Pike
Ste 600
Monroeville, PA 15146
Phone (412) 457-0175
1200 Callowhill St
Ste 101
Philadelphia, PA 19123
Phone (215) 825-8212
501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046
4700 Wissahickon Ave
Bldg D
Philadelphia, PA 19144
Phone (215) 843-9720
4700 Wissahickon Ave
Philadelphia, PA 19144
Phone (215) 843-9720
2300 W Master St
Philadelphia, PA 19121
Phone (267) 687-1172
501 S 54th St
Fl 2
Philadelphia, PA 19143
Phone (215) 240-4820
501 S 54th St
#2
Philadelphia, PA 19143
Phone (215) 748-9200
2317 E Westmoreland St
Philadelphia, PA 19134
Phone (215) 291-3115
5675 N Front St
Philadelphia, PA 19120
Phone (215) 224-0440
4700 Wissahickon Ave
Ste 118
Philadelphia, PA 19144
Phone 26759736006771
4700 Wissahickon Ave
Ste 119
Philadelphia, PA 19144
Phone 2158439720 ext. 3640
2800 Fox St
Unit A
Philadelphia, PA 19129
Phone (215) 717-1422
505 Penn St
Fl 1
Reading, PA 19601
Phone (610) 816-5101
1320 Chester Pike
Ste A
Sharon Hill, PA 19079
55 Beattie Pl
Ste 810
Greenville, SC 29601
Phone (864) 527-3145
464 Herndon Pkwy
Ste 216
Herndon, VA 20170
Phone (703) 409-1224
Organizations & group practices 14
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.
-
- Addiction Medicine (Family Medicine) Physician
- Philadelphia, PA
- NPI 1588244750
DC, PA
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1881779866
PA
-
- Community/Behavioral Health Agency
- Bryn Mawr, PA
- NPI 1548395585
PA
-
- Clinical Medical Laboratory
- Beaver, PA
- NPI 1992370324
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1689357782
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Philadelphia, PA
- NPI 1376179150
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1467776989
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1598156804
-
- Psychiatry Physician
- Flanders, NJ
- NPI 1346906179
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Feasterville Trevose, PA
- NPI 1942928411
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1043204811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768435200000",
"number": "1487905014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3637 OLD YORK RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191404229",
"telephone_number": "215-787-7441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 CECIL B MOORE AVE APT 204",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191223243",
"telephone_number": "866-306-2026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVIS",
"first_name": "MALDALENA",
"middle_name": "PATRICE",
"name_prefix": "Ms.",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-22",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP012415",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "APN.29822.APRN",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11039599",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024193620",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "14266",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ15356500",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.