Chelsea Provenzano, MSN, FNP- C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95006939 Issued in CA

Practice address

8851 Center Dr Ste 408
La Mesa, CA 91942-3076

Phone

(619) 583-1174

Fax

(619) 583-4609

NPI assigned

Jul 13, 2017

Last updated

Jul 13, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cprovenzano32370@sharphealthcare.direct-ci.com

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.

• Majid Shahbaz MD Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • San Diego, CA
  • NPI 1295839934
  Medicare reassignment NPD

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499904000000",
    "number": "1033631700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13627 SUNSET VIEW RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920645051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR STE 408",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423076",
            "telephone_number": "619-583-1174",
            "fax_number": "619-583-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROVENZANO",
        "first_name": "CHELSEA",
        "credential": "MSN, FNP- C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2017-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson M Prather, MFT
• Susan Patricia Press, DMD
• Mark Priest
• Katherine Prince
• Maria Provencher
• Renee Prueitt, LMFT
• Psychological & Family Support Services, Inc
• Gabriela Alexa Puentes, OTR/L
• Savannah Puett, DDS
• Theresa R Pulickal, PT, DPT

• Family Nurse Practitioner in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.