MATTHEW DAVID CHANCELLOR
NPI 1861272460
Student in an Organized Health Care Education/Training Program in Tulsa, OK
About Matthew David Chancellor NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW DAVID CHANCELLOR (NPI 1861272460) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Matthew David Chancellor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
TULSA, OK 74107
TULSA, OK 74107
TULSA, OK 74107
TULSA, OK 74107
TULSA, OK 74107
TULSA, OK 74107
TULSA, OK 74107
TULSA, OK 74107
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 Matthew Chancellor's NPI number?
The NPI number for Matthew Chancellor is 1861272460. It was assigned to this individual provider in the NPPES registry on October 2, 2023.
Where is Matthew Chancellor located?
Matthew Chancellor practices at 1111 W 17th St, Tulsa, OK 74107. The listed phone number is (918) 582-1972.
What is Matthew Chancellor's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Matthew Chancellor enrolled in Medicare?
Yes. Matthew Chancellor is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Matthew Chancellor was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Matthew David Chancellor · NPI 1861272460
Student in an Organized Health Care Education/Training Program provider in Tulsa, Oklahoma. Individual provider, active in the CMS NPPES registry since October 2, 2023.
## Identity
- **NPI:** 1861272460 (Entity type: Individual)
- **Enumerated:** October 2, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1111 W 17TH ST, Tulsa, OK 74107-1886
- **Phone:** (918) 582-1972
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 2, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1861272460) · Data from the CMS NPPES public registry.