CHANCELER PEMBERTON
NPI 1760310163
Licensed Practical Nurse in Lake Ozark, MO

NPI Status: Active since May 13, 2026

Contact Information

130 CALO LN
LAKE OZARK, MO
ZIP 65049
Phone: (573) 745-5253

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  • Individual
  • Female
  • Licensed Practical Nurse

About CHANCELER PEMBERTON

This page provides the complete NPI Profile along with additional information for Chanceler Pemberton, a provider established in Lake Ozark, Missouri with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1760310163 assigned on May 2026. The practitioner's primary taxonomy code is 164W00000X with license number 2023011514 (MO). The provider is registered as an individual and her NPI record was last updated May 2026.

NPI
1760310163
Provider Name
CHANCELER PEMBERTON
Gender
Female
Entity Type
Individual
Location Address
130 CALO LN LAKE OZARK, MO 65049
Location Phone
(573) 745-5253
Mailing Address
130 CALO LN LAKE OZARK, MO 65049
Mailing Phone
(573) 745-5253
Is Sole Proprietor?
No
Enumeration Date
05-13-2026
Last Update Date
05-13-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
2023011514
License State
MO
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2023011514OTHER (01)MOLICENSE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1760310163, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
3
Doubled → 6
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 3 → 6 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 2 + 0 + 6 + 1 + 0 + 1 + 1 + 2 + 24 = 47

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 47 is 50. The difference is the calculated check digit.

50 - 47 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1760310163.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor (Professional)
130 CALO LN
LAKE OZARK, MO 65049
Social Worker (Clinical)
130 CALO LN
LAKE OZARK, MO 65049
Social Worker (Clinical)
130 CALO LN
LAKE OZARK, MO 65049
Counselor (Mental Health)
130 CALO LN
LAKE OZARK, MO 65049
Residential Treatment Facility, Emotionally Disturbed Children
130 CALO LN
LAKE OZARK, MO 65049
Psychiatric Residential Treatment Facility
130 CALO LN
LAKE OZARK, MO 65049
Social Worker (Clinical)
130 CALO LN
LAKE OZARK, MO 65049
Counselor (Professional)
130 CALO LN
LAKE OZARK, MO 65049
Clinic/Center
130 CALO LN
LAKE OZARK, MO 65049
Social Worker (Clinical)
130 CALO LN
LAKE OZARK, MO 65049
Counselor (Professional)
130 CALO LN
LAKE OZARK, MO 65049
Psychologist (Family)
130 CALO LN
LAKE OZARK, MO 65049
Counselor (Mental Health)
130 CALO LN
LAKE OZARK, MO 65049
Counselor (Mental Health)
130 CALO LN
LAKE OZARK, MO 65049
Counselor (Professional)
130 CALO LN
LAKE OZARK, MO 65049
Marriage & Family Therapist
130 CALO LN
LAKE OZARK, MO 65049
Counselor (Mental Health)
130 CALO LN
LAKE OZARK, MO 65049
Registered Nurse
130 CALO LN
LAKE OZARK, MO 65049
Registered Nurse
130 CALO LN
LAKE OZARK, MO 65049
Technician, Other (EEG)
130 CALO LN
LAKE OZARK, MO 65049

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760310163, enumerated as an "individual" on May 13, 2026.

The provider is located at 130 CALO LN LAKE OZARK, MO 65049 and the phone number is (573) 745-5253.

Licensed Practical Nurse with taxonomy code 164W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.