Nancy Chin, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

001084 Issued in CT

Practice address

280 State St
North Haven, CT 06473-2132

Phone

(203) 288-2886

Fax

(203) 288-2576

NPI assigned

Jul 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Physician Assistant

Education

State University of New York at Stony Brook, School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Connecticut Vascular Center PCGroup PAC ID 7810953106, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: nancy.chin@ctvc.eclinicaldirectplus.com

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.

• Connecticut Vascular Center P.C.

  • Vascular Surgery Physician
  • North Haven, CT
  • NPI 1558494575
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1699798488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 STATE ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732132",
            "telephone_number": "203-288-2886",
            "fax_number": "203-288-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 STATE ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732132",
            "telephone_number": "203-288-2886",
            "fax_number": "203-288-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "NANCY",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "001084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Healing Connections LLC
• Emily Cepeda
• Changing Seasons Wellness Center, LLC
• Jennifer Martha Chapman
• Hyosang Cheon, D.D.S
• Giavanna Gabriella Chirico, PA-C
• Bohun Choi, D.D.S
• Vaidehi R Chowdhary, M.D.
• Suzanne M Christoferson, LPC, ATR-BC
• Renee Cifarelli

• Surgical Physician Assistant in North Haven, CT
• Providers in North Haven, CT by specialty
• Surgical Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.