Chenoa Archer, NP
Individual provider Active NPI Family Nurse Practitioner · Lexington, TN
NPI 1760102289 · NPPES record last updated Sep 2, 2022
Key facts
- NPI
- 1760102289
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 32029 (TN)
- Practice address
- 125 W Church St
Lexington, TN 38351-2011 - Phone
- (731) 249-9300
- Fax
- (731) 249-9301
- NPI assigned
- Sep 2, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fast Pace Medical Clinic PLLC
Practice addresses (Care Compare)
125 W Church St
Lexington, TN 38351-2011
Phone (731) 249-9500
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221021001238 | TN | Practitioner - Nurse Practitioner | 8820464449 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients |
Locations
7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038
1618 Highway 51 S
Ste Ab
Covington, TN 38019
Phone (931) 332-0961
2634 N Central Ave
Humboldt, TN 38343
Phone (731) 324-1526
125 W Church St
Lexington, TN 38351
Phone (731) 249-9300
108 Courtright Rd
Martin, TN 38237
Phone (731) 281-4183
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 32029 | TN | Yes |
Addresses
Primary practice location
125 W Church St
Lexington, TN 38351-2011
Mailing address
125 W Church St
Lexington, TN 38351-2011
Phone (731) 249-9300
Other providers in Lexington, TN
- Ambulance Services of Lexington, Inc.
- Americare at Heritage Place Assisted Living LLC
- Americare at Northcliff Assisted Living LLC
- Katelyn Anderson
- Antoniette J. Driver
- Jennifer Autry
- Carlas Ballhagen
- Jordan Barber
- Angela Gateley Bartel
- Brandy Bartholomew
All providers in Lexington, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.