Lindy L Chapman, PA-C
Individual provider Active NPI Physician Assistant · Canton, NY
NPI 1992375877 · NPPES record last updated Aug 16, 2024
Key facts
- NPI
- 1992375877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 026714 (NY)
- Practice address
- 25 Park St
Canton, NY 13617-1265 - Phone
- (315) 379-9158
- Fax
- (315) 379-9604
- NPI assigned
- Jul 1, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healey Medical Practice, PLLC
Practice addresses (Care Compare)
25 Park St
Canton, NY 13617-1265
Phone (315) 379-9158
Hospital & facility affiliations
- Canton-Potsdam Hospital
- Carthage Area Hospital, Inc
- Gouverneur Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|---|
| I20210910002462 | NY | Practitioner - Physician Assistant | 7618373952 | 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 | 026714 | NY | Yes |
Addresses
Primary practice location
25 Park St
Canton, NY 13617-1265
Mailing address
25 Park St
Canton, NY 13617-1265
Phone (315) 379-9158
Other providers in Canton, NY
- Julie W Catling
- Cerio & Cerio Psychologists, P.a.
- James E. Cerio
- Nancy Greene Cerio
- Elizabeth Chapman
- Judith Ann Chase
- Randyl Shane Chase
- Megan Elizabeth Chevrier
- Gena Marie Chiasson
- Arthur J. Clark
All providers in Canton, NY · Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.