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CHANTAL R THEODORE
NPI 1720630411
Nurse Practitioner - Adult Health in Orlando, FL

Active since July 12, 2019PECOS EnrolledAccepts Medicare Assignment
1222 S ORANGE AVENUE 4TH FL, ORLANDO, FL 32891(321) 841-6444(407) 650-1307 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 4, 2022, Jul 25, 2022, Jul 12, 2019 (3 updates tracked since 2019).

About Chantal R Theodore NPPES

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

CHANTAL R THEODORE (NPI 1720630411) is an individual adult health provider in Orlando, Florida, licensed in Florida (APRN11016089) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Orlando Health, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1720630411
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameCHANTAL R THEODORE
Location Address1222 S ORANGE AVENUE 4TH FLOrlando, FL 32891-2027
Mailing Address1414 Kuhl Ave # Mp38Orlando, FL 32806-2008 · (321) 842-4713
Phone(321) 841-6444
Fax(407) 650-1307
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 12, 2019
Last NPPES UpdateAugust 4, 20223 updates tracked since enumeration
NPPES CertifiedAugust 4, 2022
✔ NPI 1720630411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · APRN11016089
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 26NJ00883700 (NJ)
1222 S ORANGE AVENUE 4TH FL, Orlando, FL 32891
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Chantal R Theodore 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 ID446683262
PECOS Enrollment IDI20220722001502
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
58 services57 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32891 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 Chantal Theodore's NPI number?

The NPI number for Chantal Theodore is 1720630411. It was assigned to this individual provider in the NPPES registry on July 12, 2019.

Where is Chantal Theodore located?

Chantal Theodore practices at 1222 S Orange Avenue 4th Fl, Orlando, FL 32891. The listed phone number is (321) 841-6444.

What is Chantal Theodore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Chantal Theodore enrolled in Medicare?

Yes. Chantal Theodore 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.

What insurance does Chantal Theodore accept?

Health plans from AvMed list Chantal Theodore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Chantal Theodore affiliated with any hospitals?

According to CMS data, Chantal Theodore is affiliated with Orlando Health.

When was this NPI record last updated?

The NPPES record for Chantal Theodore was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.