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

MS. Chalice Ann Addis, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1306359146

MS. Chalice Ann Addis, FNP-BC is a Nurse Practitioner in Lakeport, California. Qualified in 2013, 13 years ago. Practices with Lake County Tribal Health Consortium Inc, a 42-clinician group. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2017
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

925 Bevins Ct
Lakeport, CA 95453-9754
Phone: (707) 263-8382
Fax: (707) 263-1909
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP95007969 (CA)

Record details

NPI number1306359146
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedNovember 15, 2017
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Lake County Tribal Health Consortium Inc — 42 clinicians
Accepts Medicare assignment Not indicated

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