Individual provider Active NPI

Cris Ronald Chamberlain, NP-C

  • Family Nurse Practitioner
  • Price, UT
National Provider Identifier
1548515935
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4852218-8900 Issued in UT
Practice address
280 N Hospital Dr Ste 5
Price, UT 84501-4211
Phone
(435) 637-4590
Fax
(435) 637-4598
NPI assigned
Jul 21, 2012
Last updated
Jun 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP-01992 NM
Family Nurse Practitioner 363LF0000X 4852218-8900 UT Primary

Addresses

Primary practice location

280 N Hospital Dr Ste 5
Price, UT 84501-4211

Mailing address

280 N Hospital Dr Ste 5
Price, UT 84501-4211
Phone (435) 637-4590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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

Enrollment IDStateProvider typePAC IDDetails
I20150728003039 UT Practitioner - Nurse Practitioner 7719135060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

280 N Hospital Dr
Price, UT 84501-4211

945 W Hospital Dr
Price, UT 84501-4230

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP-01992NMMDFamily Nurse Practitioner
4852218-8900UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Castleview Physician Practice LLC Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cchamberlain44611@direct.phs.org
  • Direct secure messaging: cris.chamberlain.1@19848.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1342828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1548515935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 N HOSPITAL DR STE 5",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845014211",
            "telephone_number": "435-637-4590",
            "fax_number": "435-637-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N HOSPITAL DR STE 5",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845014211",
            "telephone_number": "435-637-4590",
            "fax_number": "435-637-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "CRIS",
        "middle_name": "RONALD",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-21",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-01992",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "4852218-8900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Price, UT

Sources for this page

Verify at the official NPI Registry.