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Active NPI 1972500536 Individual Practitioner Female Practitioner

Colleen Chadderton , RNC, MSN, CPNP

Nurse Practitioner - Pediatrics • Jackson, MI

Professional Overview & Biography Verified Profile Summary

Colleen Chadderton, RNC, MSN, CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Jackson, MI. Practice services are available at 760 W FRANKLIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

760 W Franklin St

Jackson, MI 492012048

Telephone 5177809260
Fax 5177809263
Associated Practice Facility / Clinic
🏢 South Jackson Pediatrics, P.c. Facility NPI 1952358327

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Jackson, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.7 Yrs
Regional Practice Density
7 Specialists

Practicing in Jackson, MI (538 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License MI 4704105291

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3200785-10 (MI)
Commercial Insurance / Payer ID Upin #
Q04418 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1255395612

Doctor of Medicine (M.D.)

NPI 1669427027

Doctor of Medicine (M.D.)

Stephanie Videan , CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1669800975

CPNPPC

Jillian Gervais , PNP-PC

Nurse Practitioner - Pediatrics

NPI 1881097434

PNPPC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active June 07, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 07, 2011

Registered at 760 W FRANKLIN ST, JACKSON, MI 492012048 (Tel: 5177809260)

📍
Updated Business Mailing Address June 07, 2011

Registered at 760 W FRANKLIN ST, JACKSON, MI 492012048 (Tel: 5177809260)

👤
Provider Name / Credentials Updated June 07, 2011

Recorded as COLLEEN CHADDERTON, RNC, MSN, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2011

Nurse Practitioner (License #4704105291 in MI)

🟢
Initial NPI Registration & Enumeration June 28, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972500536
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2005
Last Update: June 07, 2011
Sole Proprietor: No
Update or Correct Profile

Mailing Address

760 W Franklin St

Jackson, MI 492012048

Phone: 5177809260

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.