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DR. JENNIFER L CHAN D.O.
NPI 1376870048
Emergency Medicine - Emergency Medical Services in Daytona Beach, FL

Active since November 17, 2009PECOS EnrolledAccepts Medicare Assignment
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114(386) 254-4000 Get Directions Write a Review

NPPES record last updated: September 30, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 30, 2021, Nov 15, 2016, Aug 19, 2016 (3 updates tracked since 2016).

About Dr. Jennifer L Chan D.o. NPPES

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

DR. JENNIFER L CHAN D.O. (NPI 1376870048) is an individual emergency medical services provider in Daytona Beach, Florida, licensed in Florida (OS14070) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS, is affiliated with Halifax Health Medical Center, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2009).

NPPES Registry Identity

NPI1376870048
Entity TypeIndividualFemale
Primary Taxonomy207PE0004X
Provider Legal NameDR. JENNIFER L CHANCredential: D.O.
Location Address303 N CLYDE MORRIS BLVDDaytona Beach, FL 32114-2709
Mailing Address303 N Clyde Morris BlvdDaytona Beach, FL 32114-2709 · (386) 254-4000
Phone(386) 254-4000
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2009
Enumeration DateNovember 17, 2009
Last NPPES UpdateSeptember 30, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2021
✔ NPI 1376870048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
Licenses✔ Licensed in FL · OS14070✔ Licensed in NJ · 25MB09216400
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Also ListedHospitalistTaxonomy 208M00000X · License OS14070 (FL)
303 N CLYDE MORRIS BLVD, Daytona Beach, FL 32114
Open in Google Maps ↗

Other Identifiers 1

Medicaid1376780048NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jennifer L Chan D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072755982
PECOS Enrollment IDI20170511001600
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Halifax Health Medical Center

Acute Care Hospitals · Daytona Beach, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100017
Location303 N Clyde Morris BlvdDaytona Beach, FL 32114 · Volusia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32114 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 20

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

ANGELICA DIEZ
Physician Assistant
303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 425-4000
SAVANNA HANH DUONG PA-C
Physician Assistant
303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (877) 842-5432
RADIATION ONCOLOGY ASSOCIATES OF CENTRAL FLORIDA,PA
Radiology (Radiation Oncology)
303 N CLYDE MORRIS BLVD, ROC GROUND FLOOR
DAYTONA BEACH, FL 32114
Volusia County (386) 254-4220
DR. RICHARD CARL WEISS MD
Internal Medicine (Hematology & Oncology)
303 N CLYDE MORRIS BLVD, HALIFAX REGIONAL ONCOLOGY CENTER
DAYTONA BEACH, FL 32114
Volusia County (386) 254-4212
ALEXANDRA CROSSMAN MD
Internal Medicine (Infectious Disease)
303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 589-5741
ARMANDO FERNANDEZ PA
Physician Assistant (Medical)
303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 254-4000
ALEXANDRA CROSSMAN MD PA
Internal Medicine (Infectious Disease)
303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 589-5741
NICHOLAS WILLIAM METAKES CRNA
Nurse Anesthetist, Certified Registered
303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 254-4000

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 Jennifer Chan's NPI number?

The NPI number for Jennifer Chan is 1376870048. It was assigned to this individual provider in the NPPES registry on November 17, 2009.

Where is Jennifer Chan located?

Jennifer Chan practices at 303 N Clyde Morris Blvd, Daytona Beach, FL 32114. The listed phone number is (386) 254-4000.

What is Jennifer Chan's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Jennifer Chan enrolled in Medicare?

Yes. Jennifer Chan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jennifer Chan affiliated with any hospitals?

According to CMS data, Jennifer Chan is affiliated with Halifax Health Medical Center.

When was this NPI record last updated?

The NPPES record for Jennifer Chan was last updated on September 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.