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MS. NANCY OLIVIA CHAMBERLAIN AGNP
NPI 1336004100
Nurse Practitioner - Primary Care in Philadelphia, PA

Active since December 23, 2025PECOS Enrolled
4700 WISSAHICKON AVE STE 119, PHILADELPHIA, PA 19144(215) 843-9720 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Nancy Olivia Chamberlain Agnp NPPES

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

MS. NANCY OLIVIA CHAMBERLAIN AGNP (NPI 1336004100) is an individual primary care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP034705) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1336004100
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMS. NANCY OLIVIA CHAMBERLAINCredential: AGNP
Location Address4700 WISSAHICKON AVE STE 119Philadelphia, PA 19144-4248
Mailing Address4810 Conshohocken AvePhiladelphia, PA 19131-2705 · (215) 843-9720
Phone(215) 843-9720
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 23, 2025
NPPES CertifiedDecember 23, 2025
✔ NPI 1336004100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in PA · SP034705
4700 WISSAHICKON AVE STE 119, Philadelphia, PA 19144
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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)

Ms. Nancy Olivia Chamberlain Agnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143550996
PECOS Enrollment IDI20260303002642
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

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

Family Practice & Counseling Services Network, Inc.
Same address
Federally Qualified Health Center (FQHC)
4700 WISSAHICKON AVE, BOX 110, SUITE 119, BLDG. D
Philadelphia, PA 19144
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 58 clinicians in this Medicare group
NPI 1043204811 (215) 843-9720

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19144 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

FAMILY PRACTICE & COUNSELING SERVICES NETWORK, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
4700 WISSAHICKON AVE STE 119
PHILADELPHIA, PA 19144
Philadelphia County (267) 597-3600

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 Nancy Chamberlain's NPI number?

The NPI number for Nancy Chamberlain is 1336004100. It was assigned to this individual provider in the NPPES registry on December 23, 2025.

Where is Nancy Chamberlain located?

Nancy Chamberlain practices at 4700 Wissahickon Ave Ste 119, Philadelphia, PA 19144. The listed phone number is (215) 843-9720.

What is Nancy Chamberlain's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Nancy Chamberlain enrolled in Medicare?

Yes. Nancy Chamberlain is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nancy Chamberlain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nancy Chamberlain reassigns Medicare benefits to Family Practice & Counseling Services Network, Inc. (Philadelphia, PA). 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 Nancy Chamberlain'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 Nancy Chamberlain was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.