Individual provider Active NPI

Chantel Entz

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1720697162
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
27844 Issued in TN
Practice address
330 22ND Ave N
Nashville, TN 37203-1844
Phone
(615) 320-0007
NPI assigned
Jul 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 27844 TN Primary

Addresses

Primary practice location

330 22ND Ave N
Nashville, TN 37203-1844

Mailing address

804 High Point Trace CT
Nashville, TN 37221-4077
Phone (615) 481-9621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20210719001066 TN Practitioner - Nurse Practitioner 5597167288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosurgical AssociatesGroup PAC ID 8022099142, 27 clinicians

Practice addresses (Care Compare)

330 22ND N Ave
Nashville, TN 37203-1844
Phone 6153200007118

Hospital & facility affiliations

  • Tristar Skyline Medical Center Hospital, Nashville, TN, CCN 440006
  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates Family CurrentSince Feb 1, 2021 Accepting new patients
Neurosurgical Associates CurrentSince Feb 1, 2021 Accepting new patients
Advanced Diagnostic Imaging, PC Past Accepting new patients

Locations

330 22nd Ave N
Nashville, TN 37203
Phone (615) 320-0007

2400 Patterson St
Ste 319
Nashville, TN 37203

Organizations & group practices 3

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1720697162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 HIGH POINT TRACE CT",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372214077",
            "telephone_number": "615-481-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 22ND AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031844",
            "telephone_number": "615-320-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENTZ",
        "first_name": "CHANTEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "27844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.