Individual provider Active NPI

Caryn Brown Chasanov, FNP-BC

  • Family Nurse Practitioner
  • Lewes, DE
National Provider Identifier
1992021687
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0000526 Issued in DE
Practice address
34381 Carpenters Way
Lewes, DE 19958-4910
Phone
(302) 644-7201
Fax
(302) 644-7218
NPI assigned
Apr 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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 LG-0000526 DE Primary

Addresses

Primary practice location

34381 Carpenters Way
Lewes, DE 19958-4910

Mailing address

34381 Carpenters Way
Lewes, DE 19958-4910
Phone (302) 644-7201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20110511000339 DE Practitioner - Nurse Practitioner 7517143480 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sodel Pulmonary Center, LLCGroup PAC ID 4688023484, 2 clinicians
Sussex Pulmonary and Endocrine Consultants, PAGroup PAC ID 0446319461, 4 clinicians

Practice addresses (Care Compare)

20163 Office Cir
Georgetown, DE 19947-3197
Phone (302) 381-0708

34381 Carpenters Way
Lewes, DE 19958-4910
Phone (302) 644-7201

Hospital & facility affiliations

  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007
  • Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006
  • Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009

Merit-based Incentive Payment System (MIPS)

Final score
88.01 of 100Reported as group
Quality
82.58
Promoting interoperability
100
Improvement activities
40
Cost
77.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG-0000526DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sussex Pulmonary and Endocrine Consultants, PA CurrentSince Mar 8, 2011 Accepting new patients
Sodel Pulmonary Center, LLC CurrentSince Dec 6, 2023 Accepting new patients

Locations

20163 Office Cir
Georgetown, DE 19947
Phone (302) 381-0708

34381 Carpenters Way
Lewes, DE 19958
Phone (302) 644-7201

18947 John J Williams Hwy
Unit 305
Rehoboth Beach, DE 19971
Phone (302) 355-0005

Interoperability endpoints

  • Direct secure messaging: caryn.chasanov@spec.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CHBGAA
  • Direct secure messaging: caryn.chasanov.1@30269.direct.athenahealth.com
  • Direct secure messaging: cchasanov22821@beebehealth.direct-ci.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.

Hospital & facility affiliations 3

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": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300320000000",
    "number": "1992021687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34381 CARPENTERS WAY",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584910",
            "telephone_number": "302-644-7201",
            "fax_number": "302-644-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34381 CARPENTERS WAY",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584910",
            "telephone_number": "302-644-7201",
            "fax_number": "302-644-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASANOV",
        "first_name": "CARYN",
        "middle_name": "BROWN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-20",
        "last_updated": "2011-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.