Chelsi N Martin, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5380282042 Issued in KS

Practice address

4801 College Blvd
Leawood, KS 66211-1628

Phone

(913) 721-3387

NPI assigned

Jan 13, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

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 2

Merit-based Incentive Payment System (MIPS)

Final score

81.19 of 100Reported as group

Quality

72.61

Promoting interoperability

100

Improvement activities

30

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Prime Healthcare Physician Services - Providence Inc

  • General Practice Physician
  • Shawnee, KS
  • NPI 1356683213

  KS

  Medicare reassignment NPD
• Spine Pain and Rehab Associates LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Blue Springs, MO
  • NPI 1780157172

  MO

  Medicare reassignment NPD
• Prime Healthcare Physician Services - Providence Inc

  • General Practice Physician
  • Leavenworth, KS
  • NPI 1972119741
  NPD
• Ascentist Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Harrisonville, MO
  • NPI 1558057661
  NPD (past)

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1104577931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 COLLEGE BLVD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111614",
            "telephone_number": "816-478-4200",
            "fax_number": "816-875-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 COLLEGE BLVD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111628",
            "telephone_number": "913-721-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CHELSI",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021051086",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "14128752042",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "5380282042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mao Leawood Surgery Center LLC
• Amber Maring, RRT, RPSGT, RST
• Stephanie Marquess
• Marquette Physical Therapy, P.a.
• Gerald Jay Marquette, RPT
• Jeffrey Eugene Martin, PT, DPT
• Jena Martin, OTD, OTR/L
• Kathleen Martin, MT-BC
• Lacie Martin
• Sarah Ann Martin, ARNP FNP-BC

• All providers in Leawood, KS
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.