Individual provider Active NPI

Jessica Chance

  • Physician Assistant
  • Tulare, CA
National Provider Identifier
1699436121
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
60558 Issued in CA
Practice address
1062 S K St
Tulare, CA 93274-6422
Phone
(877) 960-3426
NPI assigned
Jan 6, 2022
Last updated
Jan 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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 60558 CA Primary

Addresses

Primary practice location

1062 S K St
Tulare, CA 93274-6422

Mailing address

2311 Hillman St Apt 217
Tulare, CA 93274-8068

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.FHCN.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250217001473 CA Practitioner - Physician Assistant 4981134277 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60558CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare Network CurrentSince Dec 12, 2024 Accepting new patients
Family Healthcare Network CurrentSince Dec 12, 2024 Accepting new patients
Family Healthcare Network Past Accepting new patients

Locations

290 N Wayte Ln
Fresno, CA 93701
Phone (559) 459-4101

1062 S K St
Tulare, CA 93274
Phone (559) 684-4530

305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792

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.

NPI Registry JSON

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1699436121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 HILLMAN ST APT 217",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932748068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 S K ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932746422",
            "telephone_number": "877-960-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANCE",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "60558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.FHCN.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1062 S K St",
            "city": "Tulare",
            "state": "CA",
            "country_code": "US",
            "postal_code": "932746422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tulare, CA

Sources for this page

Verify at the official NPI Registry.