PAUL MATTHEW CHAN (ARNP-C) – Primary Care Nurse Practitioner, NPI 1639603954

PAUL MATTHEW CHAN (ARNP-C) is a healthcare provider. based in Las vegas, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP-C. They hold a License No. ARNP9383418 (FL). The NPI Number for PAUL MATTHEW CHAN (ARNP-C) is 1639603954

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
PAUL MATTHEW CHAN (ARNP-C)
NPI
1639603954
Phone
(866) 553-6755
Address
8863 W Flamingo Rd Ste 101
Enumeration Date
13 April 2017
Last Update Date
17 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8665536755
Graduation Year
2017 (9 years ago)
PAC ID
3779854526
Group Practice PAC ID
0042640674
Professional Enrollment ID
I20190830001526
Address ID
FL336147120TA4700XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

2,947 NURSE PRACTITIONER in NV

Provider Addresses for PAUL MATTHEW CHAN (ARNP-C)

  • 8863 W Flamingo Rd Ste 101

    Las Vegas, NV 891478725

    Phone: (866) 553-6755

    Type: Location

  • 13047 W Linebaugh Ave Ste 102

    Tampa, FL 336264487

    Phone: (407) 777-2022

    Fax: (407) 942-8996

    Type: Location

  • Orlando Avenue, Orwin Manor, Winter Park, Orlando, Orange County, Florida, 32789, United States

    WINTER PARK, FL 327895543

    Phone: (407) 647-4008

    Type: Mailing

  • 189 S ORANGE AVE STE 1830

    ORLANDO, FL 328013261

    Phone: (407) 777-2022

    Fax: (407) 942-8996

    Type: Mailing

  • 1400 S ORLANDO AVE STE 205

    WINTER PARK, FL 327895543

    Phone: (407) 777-2022

    Fax: (407) 942-8996

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 549 Open Payments records for all available years, with a total value of $232,977.

Total Amount is formed as General ($232,977) + Research ($0) + Ownership ($0) = $232,977.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Amgen Inc. ($117,177).

Total Amount

$232,977

General + Research + Ownership

Payments

549

Total payment records

General Amount

$232,977

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-08-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190830001526INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89147)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042640674View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Does PAUL MATTHEW CHAN (ARNP-C) have a public NPI I can cite?
Public records show PAUL MATTHEW CHAN (ARNP-C) under NPI 1639603954.
Should I treat PAUL MATTHEW CHAN (ARNP-C) as an active provider?
Patients and plans typically see PAUL MATTHEW CHAN (ARNP-C) as active in the national extract.
What services align with PAUL MATTHEW CHAN (ARNP-C)'s listing?
PAUL MATTHEW CHAN (ARNP-C)'s public classification highlights Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit PAUL MATTHEW CHAN (ARNP-C) in Las Vegas, Nevada?
For routing, start with Las Vegas, Nevada for PAUL MATTHEW CHAN (ARNP-C), then verify phone and hours locally.
Why is information missing for PAUL MATTHEW CHAN (ARNP-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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