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COURTNEY ADAIR CHENAULT PA-C
NPI 1881219186
Physician Assistant - Surgical in Derby, CT

Active since June 11, 2020PECOS EnrolledAccepts Medicare Assignment
97.27/100
CMS Quality Rating
130 DIVISION ST, DERBY, CT 06418(203) 732-1330(203) 732-1332 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 4, 2022, Dec 30, 2021, Jul 2, 2021 and 1 more (4 updates tracked since 2020).

About Courtney Adair Chenault Pa-c NPPES

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

COURTNEY ADAIR CHENAULT PA-C (NPI 1881219186) is an individual surgical provider in Derby, Connecticut, licensed in Connecticut (4953) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1881219186
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameCOURTNEY ADAIR CHENAULTCredential: PA-C
Location Address130 DIVISION STDerby, CT 06418-1326
Mailing Address130 Division StDerby, CT 06418-1326
Phone(203) 732-1330
Fax(203) 732-1332
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 11, 2020
Last NPPES UpdateJanuary 4, 20224 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2022
✔ NPI 1881219186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CT · 4953
130 DIVISION ST, Derby, CT 06418
Open in Google Maps ↗

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

Courtney Adair Chenault Pa-c 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 ID4880090976
PECOS Enrollment IDI20240713000131
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.

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

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.

MRS. CHRISTINA ERNST MS,RD,CDN
Dietitian, Registered
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 732-7579
STACEY LEARY RD, CDN, CNSC
Dietitian, Registered
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 732-7585
GENEVIEVE CECILE KELA MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 732-7327
DR. DWAYNE ALANSIER HALL DNP
Nurse Practitioner
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 735-7421
DR. SYBIL CHENG D.O.
Emergency Medicine (Emergency Medical Services)
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 732-7403
PETER J. INTEGLIA CRNA
Nurse Anesthetist, Certified Registered
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 735-6493
RORY V CONDON MSN, MA
Nurse Practitioner (Psychiatric/Mental Health)
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 887-0604
TRENT GARCIA MD
Student in an Organized Health Care Education/Training Program
130 DIVISION ST
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 735-7421

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 Courtney Chenault's NPI number?

The NPI number for Courtney Chenault is 1881219186. It was assigned to this individual provider in the NPPES registry on June 11, 2020.

Where is Courtney Chenault located?

Courtney Chenault practices at 130 Division St, Derby, CT 06418. The listed phone number is (203) 732-1330.

What is Courtney Chenault's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Courtney Chenault enrolled in Medicare?

Yes. Courtney Chenault 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.

Is Courtney Chenault affiliated with any hospitals?

According to CMS data, Courtney Chenault is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Courtney Chenault was last updated on January 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.