LAURA R CHANCELLOR (PA) – Physician Assistant, NPI 1114163466

LAURA R CHANCELLOR (PA) is a healthcare provider. based in San angelo, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA06005 (TX). The NPI Number for LAURA R CHANCELLOR (PA) is 1114163466

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
LAURA R CHANCELLOR (PA)
NPI
1114163466
Phone
(325) 481-2104
Address
PO BOX 22000
Enumeration Date
16 December 2008
Last Update Date
30 May 2024

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
3256585339
Graduation Year
2008 (18 years ago)
PAC ID
2466516448
Group Practice PAC ID
7416942933
Professional Enrollment ID
I20090206000109
Address ID
TX769014730SA34XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for LAURA R CHANCELLOR (PA)

  • PO BOX 22000

    SAN ANGELO, TX 769027200

    Phone: (325) 481-2104

    Fax: (325) 659-0180

    Type: Mailing

  • 1610 S CHADBOURNE ST

    SAN ANGELO, TX 769038510

    Phone: (325) 658-5339

    Fax: (325) 947-0101

    Type: Location

  • East Beauregard Avenue, Downtown, San Angelo, Tom Green County, Texas, 76903, United States

    SAN ANGELO, TX 769035919

    Phone: (325) 481-2104

    Fax: (325) 659-0180

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 112 Open Payments records for all available years, with a total value of $1,768.

Total Amount is formed as General ($1,768) + Research ($0) + Ownership ($0) = $1,768.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ABBVIE INC. ($624).

Total Amount

$1,768

General + Research + Ownership

Payments

112

Total payment records

General Amount

$1,768

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

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: 2009-02-06

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
I20090206000109IPhysician AssistantTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes587460$0
36415Insertion of needle into vein for collection of blood sample342242$0
99214Established patient office or other outpatient visit, 30-39 minutes181163$0
91200Measurement of liver stiffness2525$0
99203New patient office or other outpatient visit, 30-44 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 76902)

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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: 7416942933View full group profile
NameSpecialtyState
Physician AssistantTX
Nurse PractitionerTX
Orthopedic SurgeryTX
Nurse PractitionerTX
-TX
Nurse PractitionerTX
Nurse PractitionerTX
Family Practice, Internal MedicineTX
Nurse PractitionerTX
-LA

Reviews

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Frequently asked questions

Can I cross-check LAURA R CHANCELLOR (PA) using NPI 1114163466?
NPI 1114163466 belongs to LAURA R CHANCELLOR (PA); compare other details if you need extra assurance.
Would LAURA R CHANCELLOR (PA) appear as active to a payer?
You can treat LAURA R CHANCELLOR (PA) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is LAURA R CHANCELLOR (PA)?
LAURA R CHANCELLOR (PA) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is LAURA R CHANCELLOR (PA) located near San Angelo?
LAURA R CHANCELLOR (PA) currently maps to San Angelo, Texas in this extract.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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