Individual provider Active NPI

Chelsea Nicole Tyson, NP-C

  • Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1104602382
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
TYSO-T47G1 Issued in NC
Practice address
7511 Mourning Dove Rd Ste 101
Raleigh, NC 27615-5097
Phone
(252) 561-6900
NPI assigned
Sep 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X TYSO-T47G1 NC Primary

Addresses

Primary practice location

7511 Mourning Dove Rd Ste 101
Raleigh, NC 27615-5097

Mailing address

7384 Capulin Crest Dr
Apex, NC 27539-4106
Phone (252) 561-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20231207003964 NC Practitioner - Nurse Practitioner 5698124212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivx Health of North Carolina P.C.Group PAC ID 2264812866, 21 clinicians

Practice addresses (Care Compare)

7901 Falls of Neuse Rd
Suite 105109
Raleigh, NC 27615-3347
Phone (919) 913-8757

Merit-based Incentive Payment System (MIPS)

Final score
83.06 of 100Reported as group
Quality
61.01
Promoting interoperability
100
Improvement activities
40
Cost
82.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TYSO-T47G1NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ivx Health of North Carolina, P.C. CurrentSince Aug 4, 2025 Accepting new patients

Locations

2230 Walnut St
Cary, NC 27518
Phone (919) 921-8887

9200 Harris Corners Pkwy
Ste A
Charlotte, NC 28269
Phone (704) 342-9011

7901 Falls of Neuse Rd
Ste 105109
Raleigh, NC 27615
Phone (919) 913-8757

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": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1104602382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7384 CAPULIN CREST DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275394106",
            "telephone_number": "252-561-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7511 MOURNING DOVE RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155097",
            "telephone_number": "252-561-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSON",
        "first_name": "CHELSEA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "TYSO-T47G1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.