Dakotha Shea Chandler, in Fuquay Varina, NC - Medicare Nurse Practitioner

Dakotha Shea Chandler, is a medicare enrolled "Nurse Practitioner - Family" in Fuquay Varina, North Carolina. Her current practice location is 1617 N Main St Ste 101, Fuquay Varina, North Carolina. You can reach out to her office (for appointments etc.) via phone at (984) 215-6595.

Dakotha Shea Chandler is licensed to practice in North Carolina (license number 5022589) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780386649.

Contact Information

	Dakotha Shea Chandler,
	1617 N Main St Ste 101, Fuquay Varina, NC 27526-9021
	(984) 215-6595
	(984) 215-6996

Map and Direction

Provider's Profile

Full Name	Dakotha Shea Chandler
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1617 N Main St Ste 101, Fuquay Varina, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780386649
Provider Enumeration Date: 03/21/2023
Last Update Date: 07/24/2025

Medicare PECOS Information:

PECOS PAC ID: 4486013414
Enrollment ID: I20230707003372

Medical Identifiers

Medical identifiers for Dakotha Shea Chandler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780386649	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	APN.0998515-NP (Colorado)	Secondary
363LF0000X	Nurse Practitioner - Family	5022589 (North Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dakotha Shea Chandler allows following entities to bill medicare on her behalf.

Entity Name	Emergency Medical Specialists, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194708073 PECOS PAC ID: 2860489242 Enrollment ID: O20040428000221

Entity Name	Peak Medical Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407420441 PECOS PAC ID: 5395096952 Enrollment ID: O20180920000528

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dakotha Shea Chandler is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dakotha Shea Chandler, 1400 E Boulder St, Colorado Springs, CO 80909-5533 Ph: (828) 284-0155	Dakotha Shea Chandler, 1617 N Main St Ste 101, Fuquay Varina, NC 27526-9021 Ph: (984) 215-6595

Reviews and Comments

Nurse Practitioner Nurses in Fuquay Varina, NC

Mrs. Lauren Ann Patterson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 605 N Main St, Fuquay Varina, NC 27526 Phone: 866-389-2727
Natalie Morreale, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1006 Procure St, Suite 100, Fuquay Varina, NC 27526 Phone: 919-577-9952 Fax: 919-577-9946
Mrs. Jamie Marie Ruebhausen, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1617 N Main St, Fuquay Varina, NC 27526 Phone: 919-577-9952
Amy Elizabeth Cate, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 605 N Main St, Fuquay Varina, NC 27526 Phone: 615-289-5001
Ms. Jamie Ortosky Gallagher, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 817 Buckner Ct, Fuquay Varina, NC 27526 Phone: 910-520-1438 Fax: 888-225-1886
Stephanie Katherine Lastra, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 E Academy St, Fuquay Varina, NC 27526 Phone: 910-390-0363 Fax: 315-496-7529
Ms. Debra Sue Watson, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 400 Attain St Ste 202, Fuquay Varina, NC 27526 Phone: 541-425-7545 Fax: 541-425-5557

Dakotha Shea Chandler, - Medicare Nurse Practitioner in Fuquay Varina, NC