Provider Demographics
NPI:1265304919
Name:MEYERS, CHASE JON (CNP)
Entity type:Individual
Prefix:
First Name:CHASE
Middle Name:JON
Last Name:MEYERS
Suffix:
Gender:M
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1360 ELM ST E
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MN
Mailing Address - Zip Code:56374-4694
Mailing Address - Country:US
Mailing Address - Phone:320-363-7765
Mailing Address - Fax:
Practice Address - Street 1:1360 ELM ST E
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MN
Practice Address - Zip Code:56374-4694
Practice Address - Country:US
Practice Address - Phone:320-363-7765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN13196363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care