Individual provider Active NPI

Karen A Chesley, RNCS

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Woburn, MA
National Provider Identifier
1063522381
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
129743 Issued in MA
Practice address
500 W Cummings Park Ste 4500
Woburn, MA 01801-6617
Phone
(781) 224-3606
Fax
(339) 999-2182
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 129743 MA Primary

Addresses

Primary practice location

500 W Cummings Park Ste 4500
Woburn, MA 01801-6617

Mailing address

500 W Cummings Park Ste 4500
Woburn, MA 01801-6617
Phone (781) 224-3606

Other identifiers 9

IdentifierTypeStateIssuer
403741OtherMATUFTS
043413758OtherMAHEALTHCAREVALUEMGT
04341375803OtherMAPACIFICARE
1019540OtherMANEIGHBORHOOD
195794000OtherMDMBCMAGELLAN
2025579OtherMACIGNA
043413758OtherMAHALLMARKHEALTH
98860902OtherMDNETWORK
PN0610OtherMABLUECROSSBLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050901000118 MA Practitioner - Certified Clinical Nurse Specialist (CNS) 4284666009 Practice locations: Woburn, MA

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

500 W Cummings Park
Suite 4500
Woburn, MA 01801-6617
Phone (781) 224-3606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
129743MAMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Alcove PC CurrentSince Jun 26, 2022 Accepting new patients

Locations

500 W Cummings Park
Ste 4500
Woburn, MA 01801
Phone (339) 999-2794

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1063522381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W CUMMINGS PARK STE 4500",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016617",
            "telephone_number": "781-224-3606",
            "fax_number": "339-999-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W CUMMINGS PARK STE 4500",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018016617",
            "telephone_number": "781-224-3606",
            "fax_number": "339-999-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESLEY",
        "first_name": "KAREN",
        "middle_name": "A",
        "credential": "RNCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "129743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "403741",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCAREVALUEMGT",
            "identifier": "043413758",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "04341375803",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD",
            "identifier": "1019540",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBCMAGELLAN",
            "identifier": "195794000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2025579",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HALLMARKHEALTH",
            "identifier": "043413758",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK",
            "identifier": "98860902",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "PN0610",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

Verify at the official NPI Registry.