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

Ethan Chanan

Individual provider Nurse Practitioner · NPI 1497596274

Ethan Chanan is a Nurse Practitioner in Washington, District of Columbia. Qualified in 2025, 1 year ago. Practices with Bluerock Primary Care, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in District of Columbia.

Years since qualifying
1
Licensed in
DC
In the registry since
2024
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Practice location Address checks out

3230 Pennsylvania Ave SE Ste 205
Washington, DC 20020-3731
Phone: (202) 796-9775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence NP500125704 (DC)

Record details

NPI number1497596274
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 4, 2024
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Bluerock Primary Care — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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