DR. CHANTAE CIARA-JOANNE HOLLIS-SCOTT M.D.
NPI 1609563857
Student in an Organized Health Care Education/Training Program in Merrillville, IN

Active since April 19, 2023PECOS Enrolled
8555 TAFT STREET, MERRILLVILLE, IN 46410(219) 769-4005 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Chantae Ciara-joanne Hollis-scott M.d. NPPES

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

DR. CHANTAE CIARA-JOANNE HOLLIS-SCOTT M.D. (NPI 1609563857) is an individual student in an organized health care education/training program in Merrillville, Indiana and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609563857
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. CHANTAE CIARA-JOANNE HOLLIS-SCOTTCredential: M.D.
Location Address8555 TAFT STREETMerrillville, IN 46410
Mailing Address8555 Taft StreetMerrillville, IN 46410
Sole ProprietorNo
Enumeration DateApril 19, 2023
Last NPPES UpdateDecember 11, 2024
NPPES CertifiedDecember 11, 2024
NPI 1609563857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
8555 TAFT STREET, Merrillville, IN 46410

Other Names 1

Other Name (5)Chantae C Hollis

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Chantae Ciara-joanne Hollis-scott M.d. 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.

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 Chantae Hollis-scott's NPI number?

The NPI number for Chantae Hollis-scott is 1609563857. It was assigned to this individual provider in the NPPES registry on April 19, 2023. The provider is also known as Chantae C Hollis.

Where is Chantae Hollis-scott located?

Chantae Hollis-scott practices at 8555 Taft Street, Merrillville, IN 46410. The listed phone number is (219) 769-4005.

What is Chantae Hollis-scott's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Chantae Hollis-scott enrolled in Medicare?

Yes. Chantae Hollis-scott is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chantae Hollis-scott was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.