Organization Active NPI

Chelsey Byergo NP LLC

  • Family Nurse Practitioner
  • Wathena, KS
National Provider Identifier
1043097660
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CHELSEY BYERGO NP LLC
Practice address
2112 Highway 36
Wathena, KS 66090-4126
Phone
(816) 616-7408
NPI assigned
Sep 8, 2023
Last updated
Nov 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Authorized official

Name
Chelsey Byergo, NPNPI 1528631280
Title
Owner
Phone
(816) 616-7408

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2112 Highway 36
Wathena, KS 66090-4126

Mailing address

32848 State Highway M
Barnard, MO 64423-8217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240109003834 KS Part B Supplier - Clinic/Group Practice 5698126100 Receives reassigned benefits from 1 practitioner
Practice locations: Wathena, KS
O20240116003804 MO Part B Supplier - Clinic/Group Practice 5698126100 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Joseph, MO; St Joseph, MO

National Provider Directory

National Provider Directory

Locations

1415 Olive St
#3
Saint Joseph, MO 64503
Phone (816) 273-5070

1606 S 38th St
#3
Saint Joseph, MO 64507
Phone (816) 617-6058

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699228800000",
    "number": "1043097660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32848 STATE HIGHWAY M",
            "city": "BARNARD",
            "state": "MO",
            "postal_code": "644238217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 HIGHWAY 36",
            "city": "WATHENA",
            "state": "KS",
            "postal_code": "660904126",
            "telephone_number": "816-616-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHELSEY BYERGO NP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-11-06",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "BYERGO",
        "authorized_official_first_name": "CHELSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-616-7408",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wathena, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.