NPIMap

Individual provider Active NPI

Andrea F. Chen, M.D.

  • MOHS-Micrographic Surgery Physician
  • Lake Worth, FL
National Provider Identifier
1679745657
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME113001 Issued in FL
Practice address
5053 S Congress Ave Ste 204
Lake Worth, FL 33461-4706
Phone
(561) 965-0222
Fax
(561) 964-5500
NPI assigned
Mar 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME113001 FL
MOHS-Micrographic Surgery Physician 207ND0101X ME113001 FL Primary

Addresses

Primary practice location

5053 S Congress Ave Ste 204
Lake Worth, FL 33461-4706

Mailing address

5053 S Congress Ave Ste 204
Lake Worth, FL 33461-4706
Phone (561) 965-0222

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address achen@pbderm.emadirect.md Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130708000231 FL Practitioner - Dermatology 7911147368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Beach DermatologyGroup PAC ID 6709864218, 19 clinicians

Practice addresses (Care Compare)

3401 Pga Blvd
Suite 420
Palm Beach Gardens, FL 33410-2825
Phone (561) 471-1808

4495 Military TRL
Suite 204
Jupiter, FL 33458-4818
Phone (561) 296-1122

470 Columbia Dr
Suite A102
West Palm Beach, FL 33409-1983
Phone (561) 640-4400

5053 S Congress Ave
Suite 204
Lake Worth, FL 33461-4706
Phone (561) 969-7300

Hospital & facility affiliations

  • Uns United Nursing Services Home health agency, West Palm Beach, FL, CCN 107752
  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision232
Removal of skin lesions160
Removal of skin cancer1089
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy77

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
PBD&P Inc Dermatology CurrentSince Feb 11, 2019 Accepting new patients
Skin and Cancer Associates Dermatology PastSince Jun 30, 2024 Accepting new patients

Locations

5053 S Congress Ave
Ste 204
Lake Worth, FL 33461
Phone (561) 969-7300

3401 Pga Blvd
Ste 420
Palm Beach Gardens, FL 33410
Phone (561) 471-1808

701 Northpoint Pkwy
Ste 300
West Palm Beach, FL 33407
Phone (561) 440-7546

470 Columbia Dr
Ste A102
West Palm Beach, FL 33409
Phone (561) 640-4400

Interoperability endpoints

  • FHIR API: https://pbd.mmi.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 2

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1206835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1679745657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5053 S CONGRESS AVE STE 204",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614706",
            "telephone_number": "561-965-0222",
            "fax_number": "561-964-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5053 S CONGRESS AVE STE 204",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334614706",
            "telephone_number": "561-965-0222",
            "fax_number": "561-964-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "ANDREA",
        "middle_name": "F.",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-30",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME113001",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME113001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "achen@pbderm.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Direct mail address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5053 S Congress Ave Ste 204",
            "city": "Lake Worth",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334614706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.