GERTRUDE CHANCELLOR FNP-BC - NPI 1467944900 - Family Medicine in Lake Forest, CA

Q: What is Gertrude Chancellor's NPI number?

The NPI number for Gertrude Chancellor is 1467944900. It was assigned to this individual provider in the NPPES registry on May 31, 2018.

Q: What is Gertrude Chancellor's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Gertrude Chancellor Fnp-bc NPPES

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

GERTRUDE CHANCELLOR FNP-BC (NPI 1467944900) is an individual family medicine provider in Lake Forest, California, licensed in California (95007950) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Mission Viejo.

NPPES Registry Identity

NPI1467944900

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameGERTRUDE CHANCELLORCredential: FNP-BC

Location Address22481 ASPAN ST STE ALake Forest, CA 92630-1648

Mailing Address22481 Aspan St Ste ALake Forest, CA 92630-1648 · (949) 240-2272 · Fax (949) 240-5869

Phone(949) 240-2272

Fax(949) 240-5869

Sole ProprietorNo

Enumeration DateMay 31, 2018

Last NPPES UpdateJune 24, 2021

NPPES CertifiedJune 24, 2021

✔ NPI 1467944900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · 95007950

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

22481 ASPAN ST STE A, Lake Forest, CA 92630

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Secondary Practice Location 1

Location 127211 Puerta Del OroMission Viejo, CA 92691-4433 · Phone (949) 310-9792

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gertrude Chancellor Fnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92630 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 5

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

RACHEL SOLTANI

Nurse Practitioner (Family)