AMY CHASE
NPI 1891688503
Nurse Practitioner - Family in Fayetteville, NY

Q: What is Amy Chase's NPI number?

The NPI number for Amy Chase is 1891688503. It was assigned to this individual provider in the NPPES registry on June 2, 2025.

Q: What is Amy Chase's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Amy Chase was last updated on June 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 02, 2025PECOS EnrolledAccepts Medicare Assignment

4110 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066(315) 663-0100(315) 663-0052 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Amy Chase NPPES

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

AMY CHASE (NPI 1891688503) is an individual family provider in Fayetteville, New York, licensed in New York (356838) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1891688503

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMY CHASE

Location Address4110 MEDICAL CENTER DRFayetteville, NY 13066-6613

Mailing Address4110 Medical Center DrFayetteville, NY 13066-6613 · (315) 663-0100 · Fax (315) 663-0052

Phone(315) 663-0100

Fax(315) 663-0052

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJune 2, 2025

NPPES CertifiedJune 2, 2025

✔ NPI 1891688503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 356838

4110 MEDICAL CENTER DR, Fayetteville, NY 13066

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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 and accepts Medicare assignment

Amy Chase 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 ID6103331301

PECOS Enrollment IDI20250716001887

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13066 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JESSICA FAYE BOUCHARD RPA-C

Physician Assistant (Medical)

4110 MEDICAL CENTER DR
FAYETTEVILLE, NY 13066

Onondaga County (315) 663-0100

AMIN FAZELI MD

Dermatology

4110 MEDICAL CENTER DR, SUITE 110
FAYETTEVILLE, NY 13066

Onondaga County (315) 663-0100

DR. FAZELI & DR. BROUMAND LLC

Dermatology

4110 MEDICAL CENTER DR
FAYETTEVILLE, NY 13066

Onondaga County (315) 663-0100

MELISSA ROE PA

Physician Assistant

4110 MEDICAL CENTER DR
FAYETTEVILLE, NY 13066

Onondaga County (315) 663-0100

VADJISTA BROUMAND MD

Internal Medicine

4110 MEDICAL CENTER DR, SUITE 110
FAYETTEVILLE, NY 13066

Onondaga County (315) 663-0100

MS. KATEY WALDON NP

Nurse Practitioner (Family)

4110 MEDICAL CENTER DR
FAYETTEVILLE, NY 13066

Onondaga County (315) 663-0100

RACHEL MARIE DAMON RPA-C

Physician Assistant

4110 MEDICAL CENTER DR
FAYETTEVILLE, NY 13066

Onondaga County (315) 663-0100

CHRISTINE SHAFFER NP

Nurse Practitioner (Family)

4110 MEDICAL CENTER DR
FAYETTEVILLE, NY 13066

Onondaga County (315) 663-0100

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 Amy Chase's NPI number?

The NPI number for Amy Chase is 1891688503. It was assigned to this individual provider in the NPPES registry on June 2, 2025.

Where is Amy Chase located?

Amy Chase practices at 4110 Medical Center Dr, Fayetteville, NY 13066. The listed phone number is (315) 663-0100.

What is Amy Chase's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Amy Chase enrolled in Medicare?

Yes. Amy Chase 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.

When was this NPI record last updated?

The NPPES record for Amy Chase was last updated on June 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.