Individual provider Active NPI

Carol Chen-Scarabelli, MSN, ARNP

  • Family Nurse Practitioner
  • Ann Arbor, MI
National Provider Identifier
1669402046
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704237794 Issued in MI
Practice address
2215 Fuller Rd
(111A) - Cardiology
Ann Arbor, MI 48105-2335
Phone
(734) 769-7100
Fax
(734) 769-7381
NPI assigned
Jul 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 ARNP1610312 FL
Family Nurse Practitioner 363LF0000X 4704237794 MI Primary

Addresses

Primary practice location

2215 Fuller Rd
(111A) - Cardiology
Ann Arbor, MI 48105-2335

Mailing address

VA Ann Arbor Healthcare System
2215 Fuller Road (111a) - Cardiology
Ann Arbor, MI 48105
Phone (734) 769-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20231213001520 NM Practitioner - Nurse Practitioner 8820273469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Taos Professional Services,LLCGroup PAC ID 6507019924, 30 clinicians

Practice addresses (Care Compare)

1399 Weimer Rd
Suite 600
Taos, NM 87571-6340
Phone (575) 751-8902

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP1610312FLMDFamily Nurse Practitioner
4704237794MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Taos Professional Services, LLC CurrentSince Nov 4, 2023 Accepting new patients
Taos Professional Services,LLC Current Accepting new patients
Taos Health Systems Inc Holy Cross Past Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746

1399 Weimer Rd
Ste 600
Taos, NM 87571
Phone (505) 751-0334

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

Hospital & facility affiliations 2

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669402046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VA ANN ARBOR HEALTHCARE SYSTEM",
            "address_2": "2215 FULLER ROAD (111A) - CARDIOLOGY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "734-769-7100",
            "fax_number": "734-769-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 FULLER RD",
            "address_2": "(111A) - CARDIOLOGY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052335",
            "telephone_number": "734-769-7100",
            "fax_number": "734-769-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN-SCARABELLI",
        "first_name": "CAROL",
        "credential": "MSN, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP1610312",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704237794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.