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CHANEL MAXWELL FNP
NPI 1649150525
Family Medicine in Ruskin, FL

Active since September 03, 2025PECOS EnrolledAccepts Medicare Assignment
1019 WYNNMERE WALK AVE, RUSKIN, FL 33570(347) 982-7572 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Chanel Maxwell Fnp NPPES

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

CHANEL MAXWELL FNP (NPI 1649150525) is an individual family medicine provider in Ruskin, Florida, licensed in Florida (11040421) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1649150525
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCHANEL MAXWELLCredential: FNP
Location Address1019 WYNNMERE WALK AVERuskin, FL 33570-2067
Mailing Address1019 Wynnmere Walk AveRuskin, FL 33570-2067 · (347) 982-7572
Phone(347) 982-7572
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 3, 2025
NPPES CertifiedSeptember 3, 2025
✔ NPI 1649150525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · 11040421
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.
1019 WYNNMERE WALK AVE, Ruskin, FL 33570
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Chanel Maxwell Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153816152
PECOS Enrollment IDI20251217002334
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 Reassignments

4

Medicare enrollment records show Chanel Maxwell reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Essen Medical Associates,pc
1,021 mi
Legal Medicine
19544 WOODHULL AVE
Jamaica, NY 11423
  • Reassigned Medicare billing, New York enrollment
  • 1,393 clinicians in this Medicare group
NPI 1700023926 (718) 740-3500
Essen Medical Urgicare, PLLC
1,025 mi
Urgent Care
1550 UNIVERSITY AVE
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 683 clinicians in this Medicare group
NPI 1841607298 (718) 583-7736
House Call Medical Services Of New York, PLLC
1,027 mi
Internal Medicine
1371 SEABURY AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • 1,054 clinicians in this Medicare group
NPI 1851345946 (718) 294-6200
Bronx Medical Practice P.C.
1,027 mi
Internal Medicine
2626 HALPERIN AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Bronx Medical Practice PC
  • 1,013 clinicians in this Medicare group
NPI 1356726087 (646) 340-1309

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33570 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.

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 Chanel Maxwell's NPI number?

The NPI number for Chanel Maxwell is 1649150525. It was assigned to this individual provider in the NPPES registry on September 3, 2025.

Where is Chanel Maxwell located?

Chanel Maxwell practices at 1019 Wynnmere Walk Ave, Ruskin, FL 33570. The listed phone number is (347) 982-7572.

What is Chanel Maxwell's specialty?

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

Is Chanel Maxwell enrolled in Medicare?

Yes. Chanel Maxwell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Chanel Maxwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chanel Maxwell reassigns Medicare benefits to 4 organizations: Essen Medical Associates,pc (Jamaica, NY), Essen Medical Urgicare, PLLC (Bronx, NY), House Call Medical Services Of New York, PLLC (Bronx, NY) and Bronx Medical Practice P.C. (Bronx, NY). Each 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 Chanel Maxwell'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 Chanel Maxwell was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.