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ALEXIS NICOLE CHANCELLOR RD/LD
NPI 1235762600
Dietitian, Registered in Jay, OK

Active since February 13, 2020
859 E MELTON DR, JAY, OK 74346(918) 253-1744 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alexis Nicole Chancellor Rd/ld NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXIS NICOLE CHANCELLOR RD/LD (NPI 1235762600) is an individual dietitian, registered in Jay, Oklahoma, licensed in Oklahoma (2490) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1235762600
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameALEXIS NICOLE CHANCELLORCredential: RD/LD
Location Address859 E MELTON DRJay, OK 74346-2704
Mailing AddressPo Box 350Jay, OK 74346-0350 · (918) 253-1744
Phone(918) 253-1744
Sole ProprietorNo
Enumeration DateFebruary 13, 2020
Last NPPES UpdateSeptember 19, 2023
NPPES CertifiedSeptember 19, 2023
✔ NPI 1235762600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in OK · 2490
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
859 E MELTON DR, Jay, OK 74346
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexis Nicole Chancellor Rd/ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Alexis Chancellor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cherokee Nation
Same address
Multi-Specialty
859 E. MELTON DRIVE
Jay, OK 74346
  • Reassigned Medicare billing, Texas enrollment
  • 1,047 clinicians in this Medicare group
NPI 1659388965 (918) 253-4271

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE ANNE HOLLENBECK RN
Registered Nurse (Diabetes Educator)
859 E MELTON DR
JAY, OK 74346
Delaware County (918) 253-1738
KAYLEE DELATORRE
Physical Therapy Assistant
859 E MELTON DR
JAY, OK 74346
Delaware County (918) 253-1707
ABBY LYNN MORRIS
Dental Hygienist
859 E MELTON DR
JAY, OK 74346
Delaware County (918) 253-1700
PAULETTA MAE BEARPAW LPN
Licensed Practical Nurse
859 E MELTON DR
JAY, OK 74346
Delaware County (918) 253-4271
CALIN KIRK MD
Family Medicine
859 E MELTON DR
JAY, OK 74346
Delaware County (918) 253-1700
BRENNON TREY NOBLIN
Physical Therapist
859 E MELTON DR
JAY, OK 74346
Delaware County (918) 253-1700
LINDSEY MEREDITH THRIFT DO
Family Medicine
859 E MELTON DR
JAY, OK 74346
Delaware County (918) 253-1700
DR. MARGARET ANN GRAYSON D.D.S.
Dentist (General Practice)
859 E MELTON DR
JAY, OK 74346
Delaware County (918) 253-1727

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexis Chancellor's NPI number?

The NPI number for Alexis Chancellor is 1235762600. It was assigned to this individual provider in the NPPES registry on February 13, 2020.

Where is Alexis Chancellor located?

Alexis Chancellor practices at 859 E Melton Dr, Jay, OK 74346. The listed phone number is (918) 253-1744.

What is Alexis Chancellor's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Alexis Chancellor enrolled in Medicare?

Yes. Alexis Chancellor is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alexis Chancellor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexis Chancellor reassigns Medicare benefits to Cherokee Nation (Jay, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexis Chancellor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alexis Chancellor was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.