CHANDALA MONIQUE HAGANS APRN
NPI 1417617069
Nurse Practitioner in Jacksonville, FL

Q: What is Chandala Hagans's NPI number?

The NPI number for Chandala Hagans is 1417617069. It was assigned to this individual provider in the NPPES registry on December 22, 2021.

Q: What is Chandala Hagans's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Chandala Hagans was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 22, 2021PECOS Enrolled

7317 STEVENTON WAY, JACKSONVILLE, FL 32244(904) 712-3380(904) 712-6210 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Chandala Monique Hagans Aprn NPPES

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

CHANDALA MONIQUE HAGANS APRN (NPI 1417617069) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (11019158) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1417617069

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCHANDALA MONIQUE HAGANSCredential: APRN

Location Address7317 STEVENTON WAYJacksonville, FL 32244-8179

Mailing Address221 N Hogan St # 335Jacksonville, FL 32202-4201 · (904) 712-3380 · Fax (904) 712-6210

Phone(904) 712-3380

Fax(904) 712-6210

Sole ProprietorNo

Enumeration DateDecember 22, 2021

Last NPPES UpdateMarch 19, 2024

NPPES CertifiedMarch 19, 2024

✔ NPI 1417617069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · 11019158

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

7317 STEVENTON WAY, Jacksonville, FL 32244

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Secondary Practice Location 1

Location 19311 Hawkeye DrJacksonville, FL 32221-3604 · Phone (904) 878-0058

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chandala Monique Hagans Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Chandala Hagans reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Envision Primary Healthcare LLC

Same address

General Practice

7317 STEVENTON WAY
Jacksonville, FL 32244

Reassigned Medicare billing, Florida enrollment
4 clinicians in this Medicare group

NPI 1639643596 (904) 712-3380

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

150 services57 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

118 services51 patients

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32244 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 3

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

MEREDITH JACKSON APRN

Nurse Practitioner (Family)

7317 STEVENTON WAY
JACKSONVILLE, FL 32244

Duval County (904) 712-3380

MS. XUEMEI HE FNP

Nurse Practitioner (Family)

7317 STEVENTON WAY
JACKSONVILLE, FL 32244

Duval County (904) 712-3380

ENVISION PRIMARY HEALTHCARE LLC

General Practice

7317 STEVENTON WAY
JACKSONVILLE, FL 32244

Duval County (904) 712-3380

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 Chandala Hagans's NPI number?

The NPI number for Chandala Hagans is 1417617069. It was assigned to this individual provider in the NPPES registry on December 22, 2021.

Where is Chandala Hagans located?

Chandala Hagans practices at 7317 Steventon Way, Jacksonville, FL 32244. The listed phone number is (904) 712-3380.

What is Chandala Hagans's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Chandala Hagans enrolled in Medicare?

Yes. Chandala Hagans is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Chandala Hagans's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chandala Hagans reassigns Medicare benefits to Envision Primary Healthcare LLC (Jacksonville, FL). 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 Chandala Hagans'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 Chandala Hagans was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.