| Chantel M Allen, APRN | |
|
9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | |
| (503) 879-2002 | |
| (503) 879-2071 |
| Full Name | Chantel M Allen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 9605 Grand Ronde Rd, Grand Ronde, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780216390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN1005111 (Oregon) | Primary |
| 163WE0003X | Registered Nurse - Emergency | RN9341572 (Florida) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Health First Privia Medical Group | 3173965993 | 247 |
| Icco Llc | 1355406729 | 133 |
| Confederated Tribes Of The Grand Ronde Community Of Oregon | 6103717277 | 17 |
| Entity Name | Health First Privia Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700649043 PECOS PAC ID: 3173965993 Enrollment ID: O20240524002147 |
| Mailing Address | Practice Location Address |
|---|---|
| Chantel M Allen, APRN 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2002 | Chantel M Allen, APRN 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2002 |
Mr. Maurice A Ajaifia, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2026 |
Ms. Wendy Monette Schmolzi, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2002 Fax: 503-879-2071 |
Jennifer Lynn Pond, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Po Box 21, Grand Ronde, OR 97347 Phone: 971-600-5741 |
Karrie Martin, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2060 Fax: 503-879-2071 |
Tricia Raye Hayden, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2060 |
Deborah Anne Samoson, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2002 |
Derek Scott Knoke, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2002 Fax: 503-879-2071 |