Chanel L Perez, CRNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

SP019258 Issued in PA

Practice address

110 S 17TH St
Harrisburg, PA 17104-1123

Phone

(717) 232-9971

Fax

(717) 920-3039

NPI assigned

Sep 18, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Hamilton Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Harrisburg, PA
  • NPI 1497779862
  Medicare reassignment
• CRHS@ Hamilton Health Center

  dba Hamilton Health Center

  • Federally Qualified Health Center (FQHC)
  • Harrisburg, PA
  • NPI 1023058534
  NPD (past)
• Hamilton Health Center, Inc

  • Community/Retail Pharmacy
  • Harrisburg, PA
  • NPI 1902496573
  NPD (past)
• Hamilton Health Center@ Downey

  • Federally Qualified Health Center (FQHC)
  • Harrisburg, PA
  • NPI 1558531749
  NPD (past)

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1720562622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S 17TH ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041123",
            "telephone_number": "717-232-9971",
            "fax_number": "717-920-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S 17TH ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041123",
            "telephone_number": "717-232-9971",
            "fax_number": "717-920-3039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1313 Monroe St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171031139",
            "country_code": "US",
            "telephone_number": "717-232-9971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "895 S Arlington Ave",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171095004",
            "country_code": "US",
            "telephone_number": "717-232-9971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "CHANEL",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP019258",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "PA",
            "license": "SP019258",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP019258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103550810-0001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cperez@hamiltonhealthcenter.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "110 S 17th St",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171041123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Walter C Peppelman, DO
• Larry Pepper, DMD
• Maberlin Peralta
• Zinaida Perciuleac, MD
• Joseddy Perez Francisco
• Irving Perez
• Perfect Home Care LLC
• Performance Chiropractic and Rehabilitation
• Periodontal Associates, Inc.
• Joshua Alan Perlakowski

• Women's Health Nurse Practitioner in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Women's Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.