Chelsey Darlene Benson, DNP, AG-ACNP
Individual provider Active NPI Acute Care Nurse Practitioner · Chattanooga, TN
NPI 1003531583 · NPPES record last updated Dec 10, 2024
Key facts
- NPI
- 1003531583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 0000032415 (TN)
- Practice address
- 2501 Citico Ave
Chattanooga, TN 37404-1127 - Phone
- (423) 697-2000
- Fax
- (423) 697-2320
- NPI assigned
- Oct 7, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Health Care System Inc.
Practice addresses (Care Compare)
2501 Citico Ave
Chattanooga, TN 37404-1127
Phone (423) 697-2000
Hospital & facility affiliations
- Memorial Healthcare System, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230111002870 | TN | Practitioner - Nurse Practitioner | 0840660668 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000032415 | TN | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Health Care System Inc. | Current | Accepting new patients | |
| Memorial Health Care System, Inc. | Current |
Accepting new patients | |
| Cardiovascular Group, PC | Current | Accepting new patients |
Locations
2501 Citico Ave
Chattanooga, TN 37404
Phone (423) 697-2318
2051 Hamill Rd
Ste 204
Hixson, TN 37343
Phone (423) 870-2450
Interoperability endpoints
- cbenson398860@direct.stlukeshealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 0000032415 | TN | Yes |
Addresses
Primary practice location
2501 Citico Ave
Chattanooga, TN 37404-1127
Mailing address
2501 Citico Ave
Chattanooga, TN 37404-1127
Phone (423) 697-2000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32415 | Other | TN | STATE LICENSE |
| Q078828 | Medicaid | TN |
Other providers in Chattanooga, TN
- Roxanne Yvonne Bennett
- Tamara L. Bennett
- Tyler J Bennett
- Rhonda Benson-Trevino
- Angela Benson
- Mari Alyce Benson
- Linda Bentancurt
- Denarika Bentley
- Cheri Proctor Benton
- Kirah Benton
All providers in Chattanooga, TN · Acute Care Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.