Individual provider Active NPI

Arianne E Chavez, MD

  • MOHS-Micrographic Surgery Physician
  • Saint Johns, FL
National Provider Identifier
1972762565
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME108401 Issued in FL
Practice address
616 State Road 13
St. Johns, FL 32259-3871
Phone
(850) 877-4134
Fax
(850) 402-9130
NPI assigned
Jun 9, 2008
Last updated
Jul 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME108401 FL
MOHS-Micrographic Surgery Physician 207ND0101X ME108401 FL Primary
Procedural Dermatology Physician 207NS0135X ME108401 FL

Addresses

Primary practice location

616 State Road 13
St. Johns, FL 32259-3871

Mailing address

PO Box 13859
Tallahassee, FL 32317-3859
Phone (850) 205-6232

Other identifiers 1

IdentifierTypeStateIssuer
DE6922OtherFLRR MEDICARE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110408000390 FL Practitioner - Dermatology 0042382053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Washington University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

425 W 19TH St D
Panama City, FL 32405-4631
Phone (850) 877-4134

Merit-based Incentive Payment System (MIPS)

Final score
89.59 of 100Reported as group
Quality
100
Promoting interoperability
91
Improvement activities
40
Cost
72.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision316
Removal of tissue264
Removal of skin lesions999
Removal of skin cancer1632
Removal of nail tissue1-10
Removal or shaving of skin growth23
Skin biopsy574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME108401FLMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Tallahassee PA Dermatology CurrentSince Sep 1, 2016 Accepting new patients
Thacker Dermatology LLC Dermatology CurrentSince Jun 1, 2017 Accepting new patients

Locations

425 W 19th St
Ste D
Panama City, FL 32405

616 State Road 13 N
St Johns, FL 32259
Phone (850) 205-6232

616 State Road 13 N
Ste 8
St Johns, FL 32259
Phone (904) 512-1899

1707 Riggins Rd
Tallahassee, FL 32308
Phone (850) 205-6232

4233 Camelot Xing
Valdosta, GA 31602
Phone (229) 469-4383

Interoperability endpoints

  • Direct secure messaging: afrazier@dat1977.srs-direct.com
  • Direct secure messaging: afrazier@dermse.emadirect.md

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1972762565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13859",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323173859",
            "telephone_number": "850-205-6232",
            "fax_number": "850-402-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 STATE ROAD 13",
            "city": "ST. JOHNS",
            "state": "FL",
            "postal_code": "322593871",
            "telephone_number": "850-877-4134",
            "fax_number": "850-402-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "ARIANNE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME108401",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME108401",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME108401",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DE6922",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, FL

Sources for this page

Verify at the official NPI Registry.