Individual provider Active NPI

Chelsea Spehalski, CRNP

  • Gerontology Nurse Practitioner
  • Paoli, PA
National Provider Identifier
1083357362
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP025526 Issued in PA
Practice address
2 Industrial Blvd Ste 110
Paoli, PA 19301-1616
Phone
(610) 725-0650
Fax
(610) 725-9583
NPI assigned
Apr 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X SP025526 PA Primary

Addresses

Primary practice location

2 Industrial Blvd Ste 110
Paoli, PA 19301-1616

Mailing address

2 Industrial Blvd Ste 110
Paoli, PA 19301-1616
Phone (610) 725-0650

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chelsea.spehalski@paoli.ikm.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20220627001283 PA Practitioner - Nurse Practitioner 9335528082 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonology Associates IncGroup PAC ID 5698757763, 18 clinicians

Practice addresses (Care Compare)

255 W Lancaster Ave
Paoli, PA 19301-1763
Phone (610) 648-0553

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paoli Hematology-Oncology Associates PC CurrentSince Aug 1, 2022 Accepting new patients
Pulmonology Associates Inc CurrentSince Oct 14, 2024 Accepting new patients
Main Line Healthcare Past Accepting new patients

Locations

255 W Lancaster Ave
Ste 124
Paoli, PA 19301
Phone (610) 648-0553

2 Industrial Blvd
Ste 110
Paoli, PA 19301
Phone (610) 725-0650

100 E Lancaster Ave
Ste 230
Wynnewood, PA 19096
Phone (610) 642-3796

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJJDBA
  • Direct secure messaging: chelsea.spehalski@paoli.ikm.direct-ci.com

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 and National Provider Directory roles.

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": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1083357362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 INDUSTRIAL BLVD STE 110",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011616",
            "telephone_number": "610-725-0650",
            "fax_number": "610-725-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 INDUSTRIAL BLVD STE 110",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011616",
            "telephone_number": "610-725-0650",
            "fax_number": "610-725-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEHALSKI",
        "first_name": "CHELSEA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP025526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chelsea.spehalski@paoli.ikm.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2 Industrial Blvd Ste 110",
            "city": "Paoli",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193011616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

Verify at the official NPI Registry.