1. Home
  2. Directory
  3. New York
  4. Far Rockaway
  5. Nurse Practitioner
  6. NPI Profile

MICHELLE JIMENEZ CHAN
NPI 1508339284
Nurse Practitioner - Acute Care in Far Rockaway, NY

Active since January 06, 2019PECOS Enrolled
327 BEACH 19TH ST, FAR ROCKAWAY, NY 11691(718) 869-7755 Get Directions Write a Review

NPPES record last updated: January 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michelle Jimenez Chan NPPES

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

MICHELLE JIMENEZ CHAN (NPI 1508339284) is an individual acute care provider in Far Rockaway, New York, licensed in New York (431408) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508339284
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMICHELLE JIMENEZ CHAN
Location Address327 BEACH 19TH STFar Rockaway, NY 11691-4423
Mailing Address2 Gold St Apt 1514New York, NY 10038-4847 · (321) 482-7779
Phone(718) 869-7755
Sole ProprietorNo
Enumeration DateJanuary 6, 2019
✔ NPI 1508339284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NY · 431408
327 BEACH 19TH ST, Far Rockaway, NY 11691
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Jimenez Chan 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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11691 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

DANNIYA SAMUEL PA-C
Physician Assistant
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Queens County (718) 869-7000
DR. ADRIANO YASHAR MD
Student in an Organized Health Care Education/Training Program
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Queens County (718) 869-7108
DR. VINEETA DAMINENI MD
Student in an Organized Health Care Education/Training Program
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Queens County (718) 869-7248
SARAH DIANA SINGH
Student in an Organized Health Care Education/Training Program
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Queens County (718) 869-7000
ANTHONY JOSEPH PAGAN PA-C
Physician Assistant
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Queens County (718) 869-7000
ST JOHN'S MEDICAL SERVICES PC
Internal Medicine
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Queens County (718) 869-7641
DANIEL JONATHAN WONG DPM
Podiatrist (Foot & Ankle Surgery)
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Queens County (718) 869-7000
ALYSSA CURCIO
Student in an Organized Health Care Education/Training Program
327 BEACH 19TH ST
FAR ROCKAWAY, NY 11691
Queens County (718) 869-7000

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 Michelle Jimenez Chan's NPI number?

The NPI number for Michelle Jimenez Chan is 1508339284. It was assigned to this individual provider in the NPPES registry on January 6, 2019.

Where is Michelle Jimenez Chan located?

Michelle Jimenez Chan practices at 327 Beach 19th St, Far Rockaway, NY 11691. The listed phone number is (718) 869-7755.

What is Michelle Jimenez Chan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Michelle Jimenez Chan enrolled in Medicare?

Yes. Michelle Jimenez Chan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michelle Jimenez Chan was last updated on January 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.