Individual provider Active NPI

Chester Kikla Jr., ARNP

  • Nurse Practitioner
  • Daytona Beach, FL
National Provider Identifier
1740646504
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9207544 Issued in FL
Practice address
1667 N Clyde Morris Blvd Ste 2
Daytona Beach, FL 32117-5500
Phone
(386) 274-4840
Fax
(386) 256-3008
NPI assigned
Jan 11, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9207544 FL Primary

Addresses

Primary practice location

1667 N Clyde Morris Blvd Ste 2
Daytona Beach, FL 32117-5500

Mailing address

1667 N Clyde Morris Blvd Ste 2
Daytona Beach, FL 32117-5500
Phone (386) 274-4840

Other identifiers 1

IdentifierTypeStateIssuer
JZUS2OtherFLFLORIDA BLUE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160302002093 FL Practitioner - Nurse Practitioner 0941506869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

Hospital & facility affiliations

  • Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
  • Halifax Health Medical Center Hospital, Daytona Beach, FL, CCN 100017
  • AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9207544FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vera Endocrine Associates Inc CurrentSince May 6, 2019 Accepting new patients
John R. Chewning DO PA CurrentSince Jul 26, 2021 Accepting new patients

Locations

1667 N Clyde Morris Blvd
#2
Daytona Beach, FL 32117
Phone (386) 274-1414

1425 Hand Ave
Ste L
Ormond Beach, FL 32174
Phone (386) 256-3977

Interoperability endpoints

  • Direct secure messaging: chester.kikla.1@20868.direct.athenahealth.com

Organizations & group practices 2

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 4

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": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1740646504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1667 N CLYDE MORRIS BLVD STE 2",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175500",
            "telephone_number": "386-274-4840",
            "fax_number": "386-256-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1667 N CLYDE MORRIS BLVD STE 2",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175500",
            "telephone_number": "386-274-4840",
            "fax_number": "386-256-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIKLA",
        "first_name": "CHESTER",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-11",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9207544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "JZUS2",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.