Individual Healthcare Provider
Chanel L Perez, CRNP
Provider's NPPES record last updated: December 8, 2022
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1720562622
- Primary Specialty
- Nurse Practitioner — Women's Health
- Practice Location
- Harrisburg, Pennsylvania
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 7:05 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Women's Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LW0102X Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Taxonomy code 363L00000XNurse Practitioner
Obstetrics & Gynecology
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LX0001X
Provider-Reported License Information
- Nurse Practitioner (Pennsylvania)
- SP019258
- Nurse Practitioner (Pennsylvania)
- SP019258
- Nurse Practitioner (Pennsylvania)
- SP019258
Practice Locations
Practice Location
110 S 17th St
Harrisburg, Pennsylvania 17104-1123
Phone: (717) 232-9971
Additional Practice Location
1313 Monroe St
Harrisburg, Pennsylvania 17103-1139
Phone: (717) 232-9971
Additional Practice Location
895 S Arlington Ave
Harrisburg, Pennsylvania 17109-5004
Phone: (717) 232-9971
Record Information
- Enumeration Date
- September 18, 2018
- Provider's NPPES Record Last Updated
- December 8, 2022
- Certification Date
- December 8, 2022
- NPISignal NPPES Dataset
- August 2026
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