Active NPI
Christine Ceravolo Chapman, DO
- Family Medicine Physician
- Trenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS 8553
- Practice address
- 911 S Main St
Trenton, FL 32693-3239 - Phone
- (352) 463-2374
- Fax
- (352) 463-4503
- NPI assigned
- Jul 10, 2006
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS 8553 | FL | Primary |
Addresses
Primary practice location
911 S Main St
Trenton, FL 32693-3239
Mailing address
10959 SE 25TH Ave
Trenton, FL 32693-1997
Phone (352) 283-2113
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81528 | Other | FL | BC |
| OS8553 | Other | FL | MEDICAL LICENSE |
| U1121Z | Other | FL | PT B MEDICARE |
| 267400900 | Medicaid | FL | |
| P00121393 | Other | FL | RR MEDICARE |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6500 W Newberry Rd
Gainesville, FL 32605-4309
Phone (352) 384-3900
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.42 of 100
- Quality
- 80.29
- Improvement activities
- 40
- Cost
- 75.48
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS 8553 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCR Health, Inc. | Family Medicine | Current | Accepting new patients |
| Hospital Internal Medicine PA | Current | Accepting new patients | |
| Haven Medical Group, LLC | Current | Accepting new patients | |
| MCR Health, Inc. | Current | Accepting new patients | |
| Abode Hospice of Florida, LLC | Family Medicine | Past | Accepting new patients |
| North Central Florida Hospice, Inc. | Past | Accepting new patients |
Locations
919 53rd Ave E
Bradenton, FL 34203
Phone (941) 751-8100
4200 NW 90th Blvd
Gainesville, FL 32606
Phone (352) 378-2121
6500 W Newberry Rd
Gainesville, FL 32605
Phone (352) 333-4180
12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Gainesville, FL
- NPI 1356495204
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Gainesville, FL
- NPI 1407143316
-
- Federally Qualified Health Center (FQHC)
- Parrish, FL
- NPI 1255376000
Family Medicine
-
dba Riverside Medical Center
- Non-Pharmacy Dispensing Site
- Bradenton, FL
- NPI 1821878745
-
dba Haven Hospice
- Community Based Hospice Care Agency
- Gainesville, FL
- NPI 1154162857
Family Medicine
-
dba Haven Hospice
- Inpatient Hospice
- Gainesville, FL
- NPI 1699742783
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Haven Hospice
- Community Based Hospice Care Agency
- Gainesville, FL
- NPI 1154162857
-
- Skilled Nursing Facility
- Trenton, FL
- NPI 1295781870
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1770517450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10959 SE 25TH AVE",
"city": "TRENTON",
"state": "FL",
"postal_code": "326931997",
"telephone_number": "352-283-2113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 S MAIN ST",
"city": "TRENTON",
"state": "FL",
"postal_code": "326933239",
"telephone_number": "352-463-2374",
"fax_number": "352-463-4503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPMAN",
"first_name": "CHRISTINE",
"middle_name": "CERAVOLO",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2023-03-07",
"certification_date": "2021-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS 8553",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC",
"identifier": "81528",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "OS8553",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT B MEDICARE",
"identifier": "U1121Z",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "267400900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00121393",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.