MS. ALLISON L CHAN RN, AGNP-C
NPI 1710509062
Nurse Practitioner - Adult Health in Roslyn, NY
About Ms. Allison L Chan Rn, Agnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. ALLISON L CHAN RN, AGNP-C (NPI 1710509062) is an individual adult health provider in Roslyn, New York, licensed in New York (F309293) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Allison L Chan Rn, Agnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Allison Chan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
West Islip, NY 11795
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Samaritan Medical Services PC
- 209 clinicians in this Medicare group
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 11576 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ROSLYN, NY 11576
ROSLYN, NY 11576
ROSLYN, NY 11576
ROSLYN, NY 11576
ROSLYN, NY 11576
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 Allison Chan's NPI number?
The NPI number for Allison Chan is 1710509062. It was assigned to this individual provider in the NPPES registry on May 9, 2020.
Where is Allison Chan located?
Allison Chan practices at 100 Port Washington Blvd, Roslyn, NY 11576. The listed phone number is (516) 404-2324.
What is Allison Chan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Allison Chan enrolled in Medicare?
Yes. Allison Chan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Allison Chan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Allison Chan reassigns Medicare benefits to Samaritan Medical Services, P.C. (West Islip, NY). The 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 Allison Chan'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 Allison Chan was last updated on May 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Ms. Allison L Chan, RN, AGNP-C · NPI 1710509062
Adult Health physician in Roslyn, New York. Individual provider, active in the CMS NPPES registry since May 9, 2020.
## Identity
- **NPI:** 1710509062 (Entity type: Individual)
- **Enumerated:** May 9, 2020
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** F309293 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 PORT WASHINGTON BLVD, Roslyn, NY 11576-1347
- **Phone:** (516) 404-2324
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Samaritan Medical Services, P.C. (NPI 1124184544, West Islip, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 9, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1710509062) · Data from the CMS NPPES public registry.