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MIMI CHAN NP
NPI 1700469442
Nurse Practitioner in Elmira, NY

Active since April 30, 2021PECOS Enrolled
81.3/100
CMS Quality Rating
600 ROE AVE # 1A, ELMIRA, NY 14905(607) 737-4130 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mimi Chan Np NPPES

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

MIMI CHAN NP (NPI 1700469442) is an individual nurse practitioner in Elmira, New York, licensed in New York (347650) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700469442
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMIMI CHANCredential: NP
Location Address600 ROE AVE # 1AElmira, NY 14905-1629
Mailing Address571 Saint Josephs Blvd Fl 2Elmira, NY 14901-3230 · (607) 271-2094 · Fax (607) 271-2071
Phone(607) 737-4130
Sole ProprietorNo
Enumeration DateApril 30, 2021
NPPES CertifiedMarch 19, 2021
✔ NPI 1700469442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · 347650
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
600 ROE AVE # 1A, Elmira, NY 14905
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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)

Mimi Chan Np 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 14905 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.8
Promoting Interoperability100
Improvement Activities40
Cost65.21

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 Mimi Chan's NPI number?

The NPI number for Mimi Chan is 1700469442. It was assigned to this individual provider in the NPPES registry on April 30, 2021.

Where is Mimi Chan located?

Mimi Chan practices at 600 Roe Ave # 1A, Elmira, NY 14905. The listed phone number is (607) 737-4130.

What is Mimi Chan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mimi Chan enrolled in Medicare?

Yes. Mimi Chan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mimi Chan was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.