Individual provider Active NPI

Chevon Nicole Vanepps, FNP

  • Family Nurse Practitioner
  • Saginaw, MI
National Provider Identifier
1790191120
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704250472 Issued in MI
Practice address
4177 Fashion Square Blvd
Suite 1
Saginaw, MI 48603-5216
Phone
(989) 791-9100
Fax
(989) 791-6746
NPI assigned
Jul 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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 4704250472 MI Primary

Addresses

Primary practice location

4177 Fashion Square Blvd
Suite 1
Saginaw, MI 48603-5216

Mailing address

901 Elm St
Bay City, MI 48706-4055
Phone (989) 793-4420

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
I20180629001682 FL Practitioner - Nurse Practitioner 5294054078 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ranjan Mahajan, MD PLCGroup PAC ID 6800800129, 5 clinicians

Practice addresses (Care Compare)

150 Clearwater Largo N Rd
Suite 2
Largo, FL 33770-2388
Phone (727) 518-0822

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Unique Healthcare Systems LLC CurrentSince Apr 7, 2018 Accepting new patients
Ranjan Mahajan, MD PLC Family CurrentSince Aug 23, 2019 Accepting new patients
Unique Management Group PastSince Apr 7, 2018 Accepting new patients
Ranjan Mahajan MD Past Accepting new patients

Locations

150 Clearwater Largo Rd N
Largo, FL 33770
Phone (727) 518-0822

150 Clearwater Largo Rd N
Ste 2
Largo, FL 33770
Phone (727) 518-0822

7101 US Highway 19 N
Pinellas Park, FL 33781
Phone (727) 201-8585

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1790191120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 ELM ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487064055",
            "telephone_number": "989-793-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4177 FASHION SQUARE BLVD",
            "address_2": "SUITE 1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486035216",
            "telephone_number": "989-791-9100",
            "fax_number": "989-791-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANEPPS",
        "first_name": "CHEVON",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-07",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704250472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.