Individual provider Active NPI

Chelsea M Camerlengo, PA-C

  • Physician Assistant
  • Wellsburg, WV
National Provider Identifier
1073096913
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2184 Issued in WV
Practice address
1006 Commerce Street
Wellsburg, WV 26070
Phone
(304) 737-4435
Fax
(304) 737-4439
NPI assigned
Sep 6, 2018
Last updated
May 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2184 WV Primary

Addresses

Primary practice location

1006 Commerce Street
Wellsburg, WV 26070

Mailing address

1006 Commerce Street
Wellsburg, WV 26070
Phone (304) 737-4435

Other identifiers 1

IdentifierTypeStateIssuer
0393680MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20200325000688 WV Practitioner - Physician Assistant 5294163226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wheeling Hospital IncGroup PAC ID 5799689493, 433 clinicians

Practice addresses (Care Compare)

1 Medical Park
Wheeling, WV 26003-6379

1421 Commerce St
Wellsburg, WV 26070-1320
Phone (304) 737-3425

1423 Commerce St
Wellsburg, WV 26070-1320
Phone (304) 737-0816

1429 Commerce St
Unit 2
Wellsburg, WV 26070-1320
Phone (304) 737-4435

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wheeling Hospital Inc CurrentSince Mar 9, 2020 Accepting new patients
Wheeling Hospital Inc Past Accepting new patients
Wheeling Hospital, Inc. Past Accepting new patients

Locations

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

1006 Commerce St
Wellsburg, WV 26070
Phone (304) 737-0321

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

Organizations & group practices 3

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 3

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": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1073096913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 COMMERCE STREET",
            "city": "WELLSBURG",
            "state": "WV",
            "postal_code": "26070",
            "telephone_number": "304-737-4435",
            "fax_number": "304-737-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 COMMERCE STREET",
            "city": "WELLSBURG",
            "state": "WV",
            "postal_code": "26070",
            "telephone_number": "304-737-4435",
            "fax_number": "304-737-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERLENGO",
        "first_name": "CHELSEA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "2184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0393680",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsburg, WV

Sources for this page

Verify at the official NPI Registry.