Individual provider Active NPI

Chantelle K Gastinger, PA-C

  • Physician Assistant
  • Exton, PA
National Provider Identifier
1619925708
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA051052 Issued in PA
Practice address
501 Gordon Dr
Exton, PA 19341-1252
Phone
(610) 594-6660
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C03839 MD
Physician Assistant 363A00000X MA051052 PA Primary

Addresses

Primary practice location

501 Gordon Dr
Exton, PA 19341-1252

Mailing address

501 Gordon Dr
Exton, PA 19341-1252

Other names 1

  • Chantelle K Hoke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050131000496 PA Practitioner - Physician Assistant 1951351642 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C03839MDMDPhysician Assistant
MA051052PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Centre for Dermatology, LLC PastSince Aug 1, 2021 Accepting new patients
Dermatology and Skin Surgery Center, PC PastSince Sep 25, 2000 Accepting new patients
Fredericksburg Community Health Center PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: chantellegastinger@lscp.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260316800000",
    "number": "1619925708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 GORDON DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GORDON DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411252",
            "telephone_number": "610-594-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASTINGER",
        "first_name": "CHANTELLE",
        "middle_name": "K",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2009-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C03839",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANTELLE",
            "last_name": "HOKE",
            "middle_name": "K",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Exton, PA

Sources for this page

Verify at the official NPI Registry.