Individual provider Active NPI

Chelsea Holder, NP

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1104551605
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71012776A Issued in IN
Practice address
2485 Directors Row Ste D
Indianapolis, IN 46241-4907
Phone
(317) 941-7338
NPI assigned
Jul 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71012776A IN Primary

Addresses

Primary practice location

2485 Directors Row Ste D
Indianapolis, IN 46241-4907

Mailing address

2485 Directors Row Ste D
Indianapolis, IN 46241-4907
Phone (317) 941-7338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20220803003537 IN Practitioner - Nurse Practitioner 3274915418 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Proactive Clinical PartnersGroup PAC ID 8527315852, 32 clinicians
Proactive Clinical Partners - AcoGroup PAC ID 5890154884, 30 clinicians

Practice addresses (Care Compare)

1108 Kingwood Dr
Avon, IN 46123-5500
Phone (317) 271-7054

2485 Directors Row
Suite D
Indianapolis, IN 46241-4907
Phone (317) 941-7338

Merit-based Incentive Payment System (MIPS)

Final score
76.42 of 100Reported as apm
Quality
55.23
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71012776AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Clinical Partners CurrentSince Aug 1, 2022 Accepting new patients
Proactive Clinical Partners - Aco CurrentSince Jun 24, 2023 Accepting new patients

Locations

1108 Kingwood Dr
Avon, IN 46123
Phone (317) 204-1100

3550 Central Ave
Columbus, IN 47203
Phone (317) 818-0680

2485 Directors Row
Ste D
Indianapolis, IN 46241
Phone (317) 941-7331

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.

NPI Registry JSON

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1104551605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 DIRECTORS ROW STE D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462414907",
            "telephone_number": "317-941-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 DIRECTORS ROW STE D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462414907",
            "telephone_number": "317-941-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDER",
        "first_name": "CHELSEA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012776A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.