Ambrosia Kate Chen
Individual provider Active NPI Physician Assistant · Washington, DC
NPI 1891480133 · NPPES record last updated Oct 22, 2024
Key facts
- NPI
- 1891480133
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 900 23Rd St NW
Washington, DC 20037-2342 - Phone
- (202) 715-4000
- NPI assigned
- Apr 11, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241211002199 | DC | Practitioner - Physician Assistant | 7719413996 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
900 23Rd St NW
Washington, DC 20037-2342
Mailing address
24 N Walnut St FL 3
Hagerstown, MD 21740-4738
Phone (240) 527-2752
Other providers in Washington, DC
- Anne Marie Chemale Noussingue
- Boyoung Chembu
- Marquise Chemo
- Erica Chemtob
- Renee Hui-Chun Chen-Lee
- Amy Jong Chen
- Andrew Yen-Drey Chen
- Angella Chen
- Annie Chen
- Bi Jun Chen
All providers in Washington, DC · Physician Assistant in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.