Individual provider Active NPI

Chase Nelson Jeppesen, DO

  • Diagnostic Radiology Physician
  • Hershey, PA
National Provider Identifier
1578055919
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
OS022951 Issued in PA
Practice address
500 University Dr
Hershey, PA 17033-2360
Phone
(800) 243-1455
NPI assigned
Jun 1, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X OS022951 PA Primary

Addresses

Primary practice location

500 University Dr
Hershey, PA 17033-2360

Mailing address

500 University Dr
Hershey, PA 17033-2360
Phone (800) 243-1455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250820002074 NV Practitioner - Diagnostic Radiology 0840650818 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Radiology Specialists LTD Marasso-MillerGroup PAC ID 0143110874, 136 clinicians

Practice addresses (Care Compare)

10393 Terra Landings Ave
Las Vegas, NV 89166-6682
Phone (702) 962-7770

3100 N Tenaya Way
Las Vegas, NV 89128-0436
Phone (866) 722-1655

3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (866) 722-1655

7130 Smoke Ranch Rd
Las Vegas, NV 89128-3157
Phone (866) 722-1655

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
56.69
Promoting interoperability
100
Improvement activities
40
Cost
74.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Specialists LTD Marasso-Miller Diagnostic Radiology CurrentSince Jul 6, 2025 Accepting new patients
Ellis Bandt Birkin Kollins & Wong PLLC Diagnostic Radiology CurrentSince Jul 25, 2025 Accepting new patients
Shelin Agrawal and Hyer PLLC Diagnostic Radiology CurrentSince Jul 25, 2025 Accepting new patients

Locations

901 Adams Blvd
Boulder City, NV 89005
Phone (702) 293-4111

2811 W Horizon Ridge Pkwy
Henderson, NV 89052

2020 Palomino Ln
Ste 100
Las Vegas, NV 89106
Phone (702) 384-5210

4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554

3025 S Rainbow Blvd
Las Vegas, NV 89146
Phone (702) 222-3544

6900 N Durango Dr
Las Vegas, NV 89149
Phone (702) 380-1964

657 N Town Center Dr
Las Vegas, NV 89144
Phone (702) 233-7571

7130 Smoke Ranch Rd
Ste 101
Las Vegas, NV 89128
Phone (702) 304-8135

6675 S Cimarron Rd
Las Vegas, NV 89113

7200 Cathedral Rock Dr
Ste 230
Las Vegas, NV 89128
Phone (702) 623-7568

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

3920 S Eastern Ave
Ste 100
Las Vegas, NV 89119
Phone (702) 759-8779

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

6500 Longley Ln
Reno, NV 89511
Phone (775) 331-7000

12554 Riata Vista Cir
Fl 1
Austin, TX 78727

Organizations & group practices 3

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 6

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": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1578055919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332360",
            "telephone_number": "800-243-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332360",
            "telephone_number": "800-243-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEPPESEN",
        "first_name": "CHASE",
        "middle_name": "NELSON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-01",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "OS022951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.