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Ian Kendall Chapman

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2817 Rock Merritt Ave, Fort Bragg, NC 28310-7519

PECOS Enrollment

This provider is enrolled in PECOS as IAN CHAPMAN.

Based on the most recent information from CMS, provider Ian Kendall Chapman 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 9:43 AM.

Profile Details

Provider ID
1922705557
Provider Type
Individual
Full Name
Chapman, Ian Kendall
Credential
FNP-C

Gender
Male
Sole Proprietor
No
Enumeration Date
2/14/2023
Last Updated
6/20/2025

Contact Information

Practice Location

2817 Rock Merritt Ave, Fort Bragg, NC 28310-7519

(910) 907-8922

Unlisted Fax

Mailing Location

2817 Rock Merritt Ave, Fort Bragg, NC 28310-0001

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 0998429-NP Colorado
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 0107521-NP Colorado

Provider Identifiers

ID	Description	Issuer
ID F02230064	Description Other	Issuer AANP FNP-C

Ian Kendall Chapman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Shepherd, Amy

Stagner, Tonya Sue

Yamashita, Mika I

Provence, Sunny

Housel, Laurie Ann

Moon, Judith Anne

Riordan, Joan Katherine

Frank, Megan

Cummings, Phillip Howard

Gassaway, Sara Allison