Individual provider Active NPI

Kimberly M Chess, CRNP

  • Family Nurse Practitioner
  • Meadville, PA
National Provider Identifier
1811318611
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP013176 Issued in PA
Practice address
640 Alden St
Meadville, PA 16335-2348
Phone
(814) 373-5266
Fax
(814) 373-5269
NPI assigned
Dec 20, 2013
Last updated
Nov 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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 SP013176 PA Primary

Addresses

Primary practice location

640 Alden St
Meadville, PA 16335-2348

Mailing address

1034 Grove St
Meadville, PA 16335-2945
Phone (814) 373-5266

Other identifiers 1

IdentifierTypeStateIssuer
102910910MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20140328002163 PA Practitioner - Nurse Practitioner 8224269568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadville Medical CenterGroup PAC ID 4284535790, shared by 21 NPIs, 139 clinicians
Titusville Area HospitalGroup PAC ID 8022907575, shared by 16 NPIs, 77 clinicians

Practice addresses (Care Compare)

640 Alden St
Meadville, PA 16335-2348
Phone (814) 333-7086

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
SP013176PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Titusville Area Hospital CurrentSince Oct 27, 2019 Accepting new patients
Apogee Medical Group of Pennsylvania PC CurrentSince Jul 23, 2014 Accepting new patients
Titusville Area Hospital CurrentSince Oct 27, 2019 Accepting new patients
Apogee Medical Group of Pennsylvania PC CurrentSince Jul 23, 2014 Accepting new patients
Titusville Area Hospital Current Accepting new patients

Locations

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728

640 Alden St
Meadville, PA 16335
Phone (814) 373-5255

740 E State St
Sharon, PA 16146
Phone (724) 983-1980

406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851

201 Reeceville Rd
West Brandywine, PA 19320
Phone (215) 788-2285

Interoperability endpoints

  • Direct secure messaging: kimberly.chess@directaddress.net

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1387497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1811318611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-373-5266",
            "fax_number": "814-373-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 ALDEN ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352348",
            "telephone_number": "814-373-5266",
            "fax_number": "814-373-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESS",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-20",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP013176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102910910",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.