Active NPI
Jason Ford Chapman, M.D.
- General Practice Physician
- Plummer, ID
National Provider Identifier
1497040349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME121896
- Practice address
- 427 N. 12TH St.
Plummer, ID 83851 - Phone
- (208) 686-1931
- NPI assigned
- Jun 17, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME121896 | FL | Primary |
Addresses
Primary practice location
427 N. 12TH St.
Plummer, ID 83851
Mailing address
PO Box 1118
Coeur D Alene, ID 83816-1118
Phone (208) 651-8950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200710002470 | ID | Practitioner - Family Practice | 9739329368 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Benewah Medical Center
Practice addresses (Care Compare)
427 12TH St
Plummer, ID 83851-4000
Phone (208) 686-1931
Hospital & facility affiliations
- Kootenai Health
- Benewah Community Hospital
- Northwest Specialty Hospital
- Gritman Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME121896 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benewah Medical Center | Current | Accepting new patients |
Locations
427 12th St
Plummer, ID 83851
Phone (208) 686-5081
Interoperability endpoints
- jchapman812426@direct.ochin.org
Organizations & group practices 1
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 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Post Falls, ID
- NPI 1649123589
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424822400000",
"number": "1497040349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1118",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838161118",
"telephone_number": "208-651-8950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 N. 12TH ST.",
"city": "PLUMMER",
"state": "ID",
"postal_code": "83851",
"telephone_number": "208-686-1931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPMAN",
"first_name": "JASON",
"middle_name": "FORD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-17",
"last_updated": "2015-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME121896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plummer, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.