Individual provider Active NPI

Chantelle Lessard-Chaudoin, MPH, PA-C

  • Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1982159539
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7699 E Pinnacle Peak Rd Ste 115
Scottsdale, AZ 85255
Phone
(480) 300-4663
Fax
(480) 300-4888
NPI assigned
Aug 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

7699 E Pinnacle Peak Rd Ste 115
Scottsdale, AZ 85255

Mailing address

7699 E Pinnacle Peak Rd Ste 115
Scottsdale, AZ 85255-6322
Phone (480) 300-4663

Other identifiers 1

IdentifierTypeStateIssuer
Z170211OtherAZMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20170120002481 AZ Practitioner - Physician Assistant 1850673138 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Medical Group, LLC CurrentSince Sep 22, 2025 Accepting new patients
Medcubed PLLC PastSince Sep 1, 2014 Accepting new patients

Locations

652 E Warner Rd
Ste 107
Gilbert, AZ 85296
Phone (480) 539-8680

Interoperability endpoints

  • Direct secure messaging: chantelle.chaudoin.p1@direct.primemedicalgroup.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1982159539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7699 E PINNACLE PEAK RD STE 115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556322",
            "telephone_number": "480-300-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7699 E PINNACLE PEAK RD STE 115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85255",
            "telephone_number": "480-300-4663",
            "fax_number": "480-300-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESSARD-CHAUDOIN",
        "first_name": "CHANTELLE",
        "name_prefix": "Mrs.",
        "credential": "MPH, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z170211",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.