Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chanae Cottrell-Pratt

Individual provider Physician Assistant · NPI 1508638057

Chanae Cottrell-Pratt is a Physician Assistant in Port St Lucie, Florida. Qualified in 2011, 15 years ago. Practices with Martin Memorial Medical Center Inc, a 516-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
15
Licensed in
FL
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

10080 SW Innovation Way
Port St Lucie, FL 34987-2127
Phone: (772) 344-3811
Fax: (772) 344-3890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9117794 (FL)
Physician Assistant Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA9117794 (FL)

Record details

NPI number1508638057
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 27, 2023
Last updated in NPPESOctober 11, 2024
Certification dateOctober 11, 2024
Mailing address10014 White Bluff Rd Apt 1503, Savannah, GA 31406-5605

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Martin Memorial Medical Center Inc — 516 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Port St Lucie