Individual provider Active NPI

Chenelle Grant

  • Family Nurse Practitioner
  • Hauppauge, NY
National Provider Identifier
1801441399
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
344832 Issued in NY
Practice address
35 Arkay Dr
Hauppauge, NY 11788-3756
Phone
(888) 674-2742
NPI assigned
Aug 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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 344832 NY Primary

Addresses

Primary practice location

35 Arkay Dr
Hauppauge, NY 11788-3756

Mailing address

35 Arkay Dr
Hauppauge, NY 11788-3756

Other practice location 1

2857 Jerusalem Ave
Wantagh, NY 11793-2018
Phone (516) 785-2783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20191113000187 NY Practitioner - Nurse Practitioner 8820420813 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modern Physician Services PCGroup PAC ID 6204140544, 55 clinicians
Simple Healthcare, NP in Family Health, PLLCGroup PAC ID 6204362239, 2 clinicians

Practice addresses (Care Compare)

1169 Liberty Ave
Brooklyn, NY 11208-3308
Phone (646) 604-8180

35 Arkay Dr
Hauppauge, NY 11788-3756
Phone (888) 674-2742

3733 82ND St
Jackson Heights, NY 11372-7031
Phone (646) 604-8190

6721 Fresh Pond Rd
Ridgewood, NY 11385-4562
Phone (929) 468-9920

68 Graham Ave
Brooklyn, NY 11206-4017
Phone (646) 604-8130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
344832NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Simple Healthcare, NP in Family Health, PLLC CurrentSince Oct 26, 2024 Accepting new patients
North Shore Long Island Jewish Healthcare CurrentSince Sep 30, 2019 Accepting new patients
Modern Physician Services PC CurrentSince Nov 17, 2025 Accepting new patients
Mission Medical Care PC Family CurrentSince Apr 29, 2024 Accepting new patients
North Shore Long Island Jewish Health Care Inc CurrentSince Sep 30, 2019 Accepting new patients
Fara Stricker Family Health Nurse Practitioner, P.C. PastSince May 14, 2023 Accepting new patients

Locations

68 Graham Ave
Brooklyn, NY 11206
Phone (646) 604-8120

6143 186th St
Ste 489
Fresh Meadows, NY 11365

35 Arkay Dr
Hauppauge, NY 11788
Phone (888) 674-2742

85 Broad St
Fl 18
New York, NY 10004
Phone (617) 750-2464

165 N Village Ave
Ste 133
Rockville Ctr, NY 11570
Phone (516) 764-0879

850 Hicksville Rd
Ste 110
Seaford, NY 11783
Phone (516) 735-5454

2857 Jerusalem Ave
Wantagh, NY 11793
Phone (516) 285-2783

Interoperability endpoints

  • Direct secure messaging: chenelle.grant.1@30259.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CHFABD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1801441399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 ARKAY DR",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 ARKAY DR",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883756",
            "telephone_number": "888-674-2742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2857 Jerusalem Ave",
            "address_purpose": "LOCATION",
            "city": "Wantagh",
            "state": "NY",
            "postal_code": "117932018",
            "country_code": "US",
            "telephone_number": "516-785-2783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "CHENELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

Verify at the official NPI Registry.