JOHN CHARLES CHATTERTON MD
NPI 1679223713
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Q: What is John Chatterton's NPI number?

The NPI number for John Chatterton is 1679223713. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Q: What is John Chatterton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Chatterton was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since March 23, 2022PECOS Enrolled

2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 626-0644 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 6, 2025, Apr 29, 2024 (2 updates tracked since 2024).

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About John Charles Chatterton Md NPPES

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

JOHN CHARLES CHATTERTON MD (NPI 1679223713) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679223713

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJOHN CHARLES CHATTERTONCredential: MD

Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450

Mailing Address2450 Riverside Ave # Ao-401Minneapolis, MN 55454-1450 · (612) 626-0644

Phone(612) 626-0644

Sole ProprietorNo

Enumeration DateMarch 23, 2022

Last NPPES UpdateJune 6, 20252 updates tracked since enumeration

NPPES CertifiedJune 6, 2025

✔ NPI 1679223713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

2450 RIVERSIDE AVE, Minneapolis, MN 55454

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Charles Chatterton Md 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.

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.

MICHELLE IRENE GRAY

Rehabilitation Practitioner