Individual provider Active NPI

Chelsea Deselms, APRN, FNP-C, CFMP

  • Family Medicine Physician
  • Newberg, OR
National Provider Identifier
1033604913
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
201804757NP-PP Issued in OR
Practice address
617 N. Main St.
Newberg, OR 97132
Phone
(503) 476-1431
Fax
(855) 247-1666
NPI assigned
Jun 24, 2018
Last updated
May 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201804757NP-PP OR
Family Medicine Physician 207Q00000X 201804757NP-PP OR Primary

Addresses

Primary practice location

617 N. Main St.
Newberg, OR 97132

Mailing address

617 N Main St.
Newberg, OR 97132
Phone (503) 476-1431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180808003452 OR Practitioner - Nurse Practitioner 0244588192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Voda Integrative Medical Clinic LLCGroup PAC ID 4385986520, 2 clinicians

Practice addresses (Care Compare)

617 N Main St
Newberg, OR 97132-2312
Phone (503) 476-1431

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Voda Integrative Medical Clinic LLC Family CurrentSince May 22, 2019 Accepting new patients

Locations

434 N Villa Rd
Newberg, OR 97132
Phone (503) 538-1341

440 N Villa Rd
Newberg, OR 97132
Phone (503) 538-8338

617 N Main St
Newberg, OR 97132
Phone (503) 476-1431

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1033604913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 N MAIN ST.",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "97132",
            "telephone_number": "503-476-1431",
            "fax_number": "855-247-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 N. MAIN ST.",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "97132",
            "telephone_number": "503-476-1431",
            "fax_number": "855-247-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESELMS",
        "first_name": "CHELSEA",
        "credential": "APRN, FNP-C, CFMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201804757NP-PP",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "201804757NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberg, OR

Sources for this page

Verify at the official NPI Registry.