CHANCELLOR PRIMARY CARE PLLC
NPI 1962092536
Internal Medicine in Fredericksburg, VA
About Chancellor Primary Care Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHANCELLOR PRIMARY CARE PLLC (NPI 1962092536) is a healthcare organization registered as an internal medicine in Fredericksburg, Virginia and active in the NPI registry since January 2021. The organization holds a CLIA Waiver certificate valid through February 25, 2027 and lists Jennifer Ross, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Chancellor Primary Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Chancellor Primary Care PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 49D2214989
Chancellor Primary Care · Fredericksburg, VAFrequently 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 Chancellor Primary Care PLLC's NPI number?
The NPI number for Chancellor Primary Care PLLC is 1962092536. It was assigned to this organization in the NPPES registry on January 19, 2021.
Where is Chancellor Primary Care PLLC located?
Chancellor Primary Care PLLC is located at 4510 Plank Rd Ste 200, Fredericksburg, VA 22407. The listed phone number is (540) 295-9725.
What is Chancellor Primary Care PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Chancellor Primary Care PLLC enrolled in Medicare?
Yes. Chancellor Primary Care PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Chancellor Primary Care PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Chancellor Primary Care PLLC, in Family Practice, Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Chancellor Primary Care PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 49D2214989) is associated with this NPI, valid through February 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Chancellor Primary Care PLLC was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Chancellor Primary Care Pllc · NPI 1962092536
Internal Medicine organization in Fredericksburg, Virginia. Organization record, active in the CMS NPPES registry since January 19, 2021.
## Identity
- **NPI:** 1962092536 (Entity type: Organization)
- **Enumerated:** January 19, 2021
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Jennifer Ross, OWNER
## Practice location
- **Address:** 4510 PLANK RD STE 200, Fredericksburg, VA 22407-0138
- **Phone:** (540) 295-9725
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Internal Medicine (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 23, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1962092536) · Data from the CMS NPPES public registry.