Active NPI
Lisa A. Chaderjian, APRN
- Adult Health Nurse Practitioner
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN213855
- Practice address
- 3500 Main St
Springfield, MA 01107-1137 - Phone
- (413) 794-0900
- Fax
- (413) 794-2996
- NPI assigned
- May 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 3282 | CT | |
| Adult Health Nurse Practitioner | 363LA2200X | RN213855 | MA | Primary |
Addresses
Primary practice location
3500 Main St
Springfield, MA 01107-1137
Mailing address
80 Seymour St
Hartford, CT 06102-8000
Phone (413) 794-5700
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Connecticut School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hartford Hospital
Practice addresses (Care Compare)
80 Seymour St
Hartford, CT 06102-8000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.63 of 100
- Quality
- 75.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.44
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN213855 | MA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Pathology Associates, P.C. | Current | Accepting new patients | |
| Hartford Hospital | Current | Accepting new patients | |
| Hartford Hospital | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists, PLLC | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Trinity Health of New England Provider Network Organization Inc | Past | Accepting new patients |
Locations
81 Meriden Ave
Southington, CT 06489
Phone (860) 224-5540
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410
759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233
Organizations & group practices 6
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.
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
-
- Surgery Physician
- Hartford, CT
- NPI 1407806391
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
-
- Anatomic Pathology & Clinical Pathology Physician
- Hartford, CT
- NPI 1063464477
-
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572393600000",
"number": "1720299779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 SEYMOUR ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061028000",
"telephone_number": "413-794-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 MAIN ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071137",
"telephone_number": "413-794-0900",
"fax_number": "413-794-2996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHADERJIAN",
"first_name": "LISA",
"middle_name": "A.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2019-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CT",
"license": "3282",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "RN213855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.