Individual provider Active NPI

Chanell Charapata

  • Physician Assistant
  • Englewood, CO
National Provider Identifier
1609284611
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4024 Issued in CO
Practice address
701 E Hampden Ave
#515
Englewood, CO 80113-2736
Phone
(303) 209-2503
Fax
(303) 761-0803
NPI assigned
Jul 23, 2014
Last updated
Nov 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4024 CO Primary

Addresses

Primary practice location

701 E Hampden Ave
#515
Englewood, CO 80113-2736

Mailing address

4900 S Monaco St
#210
Denver, CO 80237-3486
Phone (303) 209-2503

Other identifiers 1

IdentifierTypeStateIssuer
22989030MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20230331000321 LA Practitioner - Physician Assistant 6204142144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rose Dermatology and Laser Center, LLCGroup PAC ID 2365483906, 2 clinicians

Practice addresses (Care Compare)

2325 Severn Ave
Suite a
Metairie, LA 70001-6918
Phone 50488583631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4024COMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: ccharapata5@rose.emadirect.md
  • Direct secure messaging: chanell.charapata@hca3.eclinicaldirectplus.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.

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1609284611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S MONACO ST",
            "address_2": "#210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373486",
            "telephone_number": "303-209-2503",
            "fax_number": "303-761-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E HAMPDEN AVE",
            "address_2": "#515",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132736",
            "telephone_number": "303-209-2503",
            "fax_number": "303-761-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARAPATA",
        "first_name": "CHANELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "4024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22989030",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.