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

Justin Ryan Chavis, RN

Individual provider Registered Nurse · NPI 1578172854

Justin Ryan Chavis, RN is a Certified Registered Nurse Anesthetist (CRNA) in Manchester, New Hampshire. Qualified in 2020, 6 years ago. Practices with Amoskeag Anesthesia PLLC, a 166-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New Hampshire and Tennessee.

Years since qualifying
6
Licensed in
NH, TN
In the registry since
2020
Specialties on file
3
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1 Elliot Way Ste 200
Manchester, NH 03103-3502
Phone: (603) 663-2315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1 Medical Center Dr, Lebanon, NH 03756-1000 — (603) 650-5000
  • 100 Hitchcock Way, Manchester, NH 03104-4125 — (603) 695-2500

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 083681-23 (NH)
Registered Nurse Taxonomy 163W00000X · Licence 205913 (TN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 132452 (NH)

Record details

NPI number1578172854
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedJuly 23, 2020
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026
Mailing address1149 E Main St Apt 302, Chattanooga, TN 37408-1631

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Amoskeag Anesthesia Pllc — 166 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Manchester