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

Chenelle Grant

Individual provider Family Nurse Practitioner · NPI 1801441399

Chenelle Grant is a Nurse Practitioner in Hauppauge, New York. Qualified in 2019, 7 years ago. Practices with Modern Physician Services PC, a 53-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
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Practice location Address checks out

35 Arkay Dr
Hauppauge, NY 11788-3756
Phone: (888) 674-2742
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2857 Jerusalem Ave, Wantagh, NY 11793-2018 — (516) 785-2783

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 344832 (NY)

Record details

NPI number1801441399
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 2, 2019
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025
Mailing address35 Arkay Dr, Hauppauge, NY 11788-3756

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Modern Physician Services Pc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Hauppauge