Chanel Marie Tangen Patana

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP60974097 Issued in WA

Practice address

375 Linhart Ave NE Ste a
Napavine, WA 98565-1527

Phone

(360) 745-2736

Fax

(833) 973-5927

NPI assigned

Jul 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chanel.patana.p1@direct.valleyviewhc.nextgenshare.com
• Direct secure messaging: chanel.patana.1@33184.direct.athenahealth.com

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derick Aaron Potter, ARNP

  • Nurse Practitioner
  • Chehalis, WA
  • NPI 1811355803
  Medicare reassignment
• Laura Kristine Skinner, FNP

  • Family Nurse Practitioner
  • Napavine, WA
  • NPI 1649817487
  Medicare reassignment

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.

• Lewis County Pediatrics and Family Medicine

  • Primary Care Clinic/Center
  • Napavine, WA
  • NPI 1366247710
  NPD (past) Authorized official
• Lewis County Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Chehalis, WA
  • NPI 1134164692
  NPD
• Providence Health & Services Washington

  • General Acute Care Hospital
  • Centralia, WA
  • NPI 1376624981
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1497317929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 HOLGATE LN",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985328964",
            "telephone_number": "360-880-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 LINHART AVE NE STE A",
            "city": "NAPAVINE",
            "state": "WA",
            "postal_code": "985651527",
            "telephone_number": "360-745-2736",
            "fax_number": "833-973-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATANA",
        "first_name": "CHANEL",
        "middle_name": "MARIE TANGEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-04",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WA",
            "license": "AP60974097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2133821",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Napavine School District
• Tracey C Ness, LMP
• Raymond Mburu Njuguna
• Rhonda Jo O'Brien-Farrar, LMP
• Joshua Jake Samuel Ottenbacher, LMT
• Robin A Rice, PA-C
• Laura Kristine Skinner, FNP
• Lara C Toney, MA
• Vendegnia Consulting LLC
• Joshua Russell Wachter, RN

• Pediatric Nurse Practitioner in Napavine, WA
• Providers in Napavine, WA by specialty
• Pediatric Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.

Verify at the official NPI Registry.