Active NPI
Chaney Landgraf
- Psychiatric/Mental Health Nurse Practitioner
- Greenville, NC
National Provider Identifier
1750005120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5019594
- Practice address
- 704 Cromwell Dr Ste a
Greenville, NC 27858-5894 - Phone
- (252) 228-4088
- Fax
- (919) 457-1433
- NPI assigned
- Sep 29, 2022
- Sex
- Male
- Sole proprietor
- Yes
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.
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
NC, Psychiatric/Mental Health
-
- Obstetrics & Gynecology Physician
- Greenville, NC
- NPI 1528016938
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240416003418 | NC | Practitioner - Nurse Practitioner | 4385083831 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 371191 | NC | MD | Registered Nurse |
| 871023 | TX | MD | Registered Nurse |
| 1096162 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
| East Carolina University | Past | Accepting new patients |
Locations
3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689
Specialties & licenses 4
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1096162 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5019594 | NC | Primary |
| Registered Nurse | 163W00000X | 871023 | TX | |
| Registered Nurse | 163W00000X | 371191 | NC |
Addresses
NPPES NPI RegistryPrimary practice location
704 Cromwell Dr Ste a
Greenville, NC 27858-5894
Mailing address
704 Cromwell Dr Ste a
Greenville, NC 27858-5894
Phone (252) 228-4088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 7, 2025.
{
"created_epoch": "1664409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1750005120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 CROMWELL DR STE A",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585894",
"telephone_number": "252-228-4088",
"fax_number": "919-457-1433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 CROMWELL DR STE A",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585894",
"telephone_number": "252-228-4088",
"fax_number": "919-457-1433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDGRAF",
"first_name": "CHANEY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-29",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1096162",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5019594",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "871023",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "371191",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.