Karen Marie Chase, N.P.

Individual provider Active NPI Nurse Practitioner · Rumford, RI

NPI 1609974583 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1609974583
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
NPP19673 (RI)
Practice address
2 Duncan Rd
Rumford, RI 02916-2821
Phone
(401) 434-6829
Fax
(401) 434-6829
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20111025000612 RI Order and Referring Only - Nurse Practitioner 5193620284

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NPP19673RIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Medicine Foundation, Inc. Past
since Jan 1, 1990
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NPP19673 RI Yes

Addresses

Primary practice location

2 Duncan Rd
Rumford, RI 02916-2821

Mailing address

2 Duncan Rd
Rumford, RI 02916-2821
Phone (401) 434-6829

Other providers in Rumford, RI

All providers in Rumford, RI · Nurse Practitioner in Rhode Island

Sources for this page

Verify at the official NPI Registry.