Look up the most recent NPI and PECOS records

Kristen Chaffee

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

16455 Statesville Rd, Ste 200, Huntersville, NC 28078-7135

PECOS Enrollment

Based on the most recent information from CMS, provider Kristen Chaffee is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 10:49 AM.

Profile Details

Provider ID
1780237115
Provider Type
Individual
Full Name
Chaffee, Kristen
Credential
FNP

Gender
Female
Sole Proprietor
No
Enumeration Date
7/24/2019
Last Updated
4/6/2022

Contact Information

Practice Location

16455 Statesville Rd, Ste 200, Huntersville, NC 28078-7135

(704) 302-8600

Unlisted Fax

Mailing Location

PO Box 19305, Charlotte, NC 28219-9305

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 5012386 North Carolina
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 5012386 North Carolina

Kristen Chaffee

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Strange, Pamela

Twohig, Elizabeth Ashley

Busheva, Mariela Petrova

Finnerty, Sarah Ann

Jones, Susanne Newman

Witkin, Debra J

Thompson, Kathryn Marie

Scott, Ashley Day

Price, Amy Elizabeth

Mebane, Tayler Gabrielle