Individual provider Active NPI

Chisa Hamilton, FNP-BC

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1790464915
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F350864 Issued in NY
Practice address
1283 York Ave
9TH Floor
New York, NY 10065-4870
Phone
(646) 962-4463
NPI assigned
Jul 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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 F350864 NY Primary

Addresses

Primary practice location

1283 York Ave
9TH Floor
New York, NY 10065-4870

Mailing address

6260 99TH St Apt 1518
Rego Park, NY 11374-6031
Phone (240) 463-7875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251008000843 NY Practitioner - Nurse Practitioner 0547767477 Reassigns benefits to 2 organizations
I20260623000319 GA Practitioner - Nurse Practitioner 0547767477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

113 Bedford View Rd
Shelbyville, TN 37160-6451

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

564 Niagara St
BLDG 2
Buffalo, NY 14201-1108

564 Niagara St BLDG
Suite 2
Buffalo, NY 14201-1108

6260 99TH St
Apt 1518
Rego Park, NY 11374-1800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F350864NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Family Practice PC Family CurrentSince Sep 22, 2025 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

2300 N St NW
Ste 200
Washington, DC 20037
Phone (844) 401-4663

1820 Lancaster St
Ste 200
Baltimore, MD 21231
Phone (443) 278-1911

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

322 Linden Blvd
Brooklyn, NY 11226
Phone (718) 230-7788

564 Niagara St
Bldg 2
Buffalo, NY 14201
Phone (716) 324-5026

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: chisa.hamilton@cinq-nyipa.medentdirect.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1790464915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6260 99TH ST APT 1518",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113746031",
            "telephone_number": "240-463-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1283 YORK AVE",
            "address_2": "9TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654870",
            "telephone_number": "646-962-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "CHISA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F350864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.