Individual provider Active NPI

Maldalena Patrice Chavis, CRNP

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1487905014
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP012415 Issued in PA
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

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130510000006 PA Practitioner - Nurse Practitioner 8325285364 Reassigns benefits to 4 organizations
I20260303001953 DC Practitioner - Nurse Practitioner 8325285364 Reassigns benefits to 1 organization

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
Ophelia Medical Group FL PAGroup PAC ID 7810398534, 103 clinicians
Ars Treatment Centers PCGroup PAC ID 0042568131, 107 clinicians

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

LicenseStateTypeSpecialty
APRN11039599FLMDFamily Nurse Practitioner
26NJ15356500NJMDFamily Nurse Practitioner
APN.29822.APRNSCMDFamily Nurse Practitioner
0024193620VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Management Corporation CurrentSince Jun 17, 2024 Accepting new patients
Resources for Human Development, Inc. CurrentSince Nov 20, 2017 Accepting new patients
Family Practice & Counseling Services Network, Inc. CurrentSince Nov 20, 2017 Accepting new patients
Ophelia Medical Group, P.C. CurrentSince Oct 10, 2025 Accepting new patients
Public Health Management Corporation CurrentSince Jun 17, 2024 Accepting new patients
Ophelia Medical Group FL, P.a. CurrentSince Oct 10, 2025 Accepting new patients
Ophelia Medical Group NJ PC CurrentSince May 6, 2026 Accepting new patients
Public Health Management Corporation Current Accepting new patients
Ars Treatment Centers, P.C. CurrentSince Sep 12, 2018 Accepting new patients
Ars Treatment Centers, P.C. CurrentSince Sep 12, 2018 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 PastSince Aug 28, 2022 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.

View all 14

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

Verify at the official NPI Registry.