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ISABELLE VICTORIA CHAN PA
NPI 1740006147
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since December 02, 2024PECOS Enrolled
145 HARRISON AVE, BOSTON, MA 02111(617) 636-7000 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Isabelle Victoria Chan Pa NPPES

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

ISABELLE VICTORIA CHAN PA (NPI 1740006147) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2026).

NPPES Registry Identity

NPI1740006147
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameISABELLE VICTORIA CHANCredential: PA
Location Address145 HARRISON AVEBoston, MA 02111-1802
Mailing Address145 Harrison AveBoston, MA 02111-1802 · (617) 636-7000
Phone(617) 636-7000
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2026
Enumeration DateDecember 2, 2024
NPPES CertifiedDecember 2, 2024
✔ NPI 1740006147 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.
145 HARRISON AVE, Boston, MA 02111
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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)

Isabelle Victoria Chan Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416421862
PECOS Enrollment IDI20260707001980
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.

MICHAEL HYON
Student in an Organized Health Care Education/Training Program
145 HARRISON AVE
BOSTON, MA 02111
Suffolk County (617) 636-7000
BRODY WYATT MANN
Student in an Organized Health Care Education/Training Program
145 HARRISON AVE
BOSTON, MA 02111
Suffolk County (617) 636-7000
MALKA LEAH FORMAN
Student in an Organized Health Care Education/Training Program
145 HARRISON AVE
BOSTON, MA 02111
Suffolk County (617) 636-6568
CAROLENA OTHMAN MEDICAL STUDENT
Student in an Organized Health Care Education/Training Program
145 HARRISON AVE
BOSTON, MA 02111
Suffolk County (617) 636-6571
GISLAINE BRAGA
Physician Assistant
145 HARRISON AVE
BOSTON, MA 02111
Suffolk County (617) 636-0405
ANEESH BAHADUR
Student in an Organized Health Care Education/Training Program
145 HARRISON AVE
BOSTON, MA 02111
Suffolk County (208) 570-8289
JAKE OROSCO
Student in an Organized Health Care Education/Training Program
145 HARRISON AVE
BOSTON, MA 02111
Suffolk County (617) 636-5000
ELIZABETH BENNETTE
Student in an Organized Health Care Education/Training Program
145 HARRISON AVE
BOSTON, MA 02111
Suffolk County (617) 636-6534

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 Isabelle Chan's NPI number?

The NPI number for Isabelle Chan is 1740006147. It was assigned to this individual provider in the NPPES registry on December 2, 2024.

Where is Isabelle Chan located?

Isabelle Chan practices at 145 Harrison Ave, Boston, MA 02111. The listed phone number is (617) 636-7000.

What is Isabelle Chan's specialty?

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

Is Isabelle Chan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Isabelle Chan was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.