CHANTELLE RENEE DAWSON RN
NPI 1467204016
Nurse Practitioner - Adult Health in Jackson, MI

Active since April 04, 2024PECOS Enrolled
1100 E MICHIGAN AVE STE 307, JACKSON, MI 49201(517) 205-1594 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 30, 2026, Apr 4, 2024 (2 updates tracked since 2024).

About Chantelle Renee Dawson Rn NPPES

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

CHANTELLE RENEE DAWSON RN (NPI 1467204016) is an individual adult health provider in Jackson, Michigan, licensed in Michigan (4704316273) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1467204016
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameCHANTELLE RENEE DAWSONCredential: RN
Location Address1100 E MICHIGAN AVE STE 307Jackson, MI 49201-1850
Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (800) 999-5829 · Fax (313) 876-1305
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 4, 2024
Last NPPES UpdateMarch 30, 20262 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
NPI 1467204016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MI · 4704316273
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704316273 (MI)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 4704316273 (MI)
1100 E MICHIGAN AVE STE 307, Jackson, MI 49201

Secondary Practice Locations 2

Location 1205 N East AveJackson, MI 49201-1753 · Phone (517) 205-4800
Location 21540 E Hospital DrAnn Arbor, MI 48109-4000 · Phone (734) 936-4000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Chantelle Renee Dawson Rn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315413705
PECOS Enrollment IDI20260414001161
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49201 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 15

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

Internal Medicine (Medical Oncology)
1100 E MICHIGAN AVE STE 307
JACKSON, MI 49201
Internal Medicine (Hematology & Oncology)
1100 E MICHIGAN AVE STE 307
JACKSON, MI 49201
Physician Assistant
1100 E MICHIGAN AVE STE 307
JACKSON, MI 49201
Nurse Practitioner (Family)
1100 E MICHIGAN AVE STE 307
JACKSON, MI 49201
Nurse Practitioner (Family)
1100 E MICHIGAN AVE STE 307
JACKSON, MI 49201
Nurse Practitioner
1100 E MICHIGAN AVE STE 307
JACKSON, MI 49201
Nurse Practitioner (Family)
1100 E MICHIGAN AVE STE 307
JACKSON, MI 49201
Internal Medicine (Hematology & Oncology)
1100 E MICHIGAN AVE STE 307
JACKSON, MI 49201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467204016, enumerated as an "individual" on April 04, 2024.

The provider is located at 1100 E MICHIGAN AVE STE 307 JACKSON, MI 49201 and the phone number is (517) 205-1594.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.