Individual provider Active NPI

Chelsea Erin Graham, D.O.

  • Family Medicine Physician
  • Wakefield, RI
National Provider Identifier
1114306776
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO00922 Issued in RI
Practice address
1 River St
Wakefield, RI 02879-3214
Phone
(401) 767-4100
NPI assigned
May 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X LP03468 RI
Family Medicine Physician 207Q00000X DO00922 RI Primary

Addresses

Primary practice location

1 River St
Wakefield, RI 02879-3214

Mailing address

186 Providence St
West Warwick, RI 02893-2508
Phone (401) 615-2800

Other practice location 1

111 Brewster St
FCC-B
Pawtucket, RI 02860-4474
Phone (401) 729-2206

Other practice location 2

186 Providence St
West Warwick, RI 02893
Phone (401) 615-2800

Other practice location 3

450 Clinton St
Woonsocket, RI 02895-3207
Phone (401) 767-4100

Other practice location 4

360 Kingstown Rd
Narragansett, RI 02882-3258
Phone (401) 767-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180912002456 RI Practitioner - Family Practice 0143533679 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thundermist Health CenterGroup PAC ID 1557270477, 161 clinicians
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians

Practice addresses (Care Compare)

186 Providence St
West Warwick, RI 02893-2508
Phone (401) 615-2800

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010

Hospital & facility affiliations

  • The Miriam Hospital Hospital, Providence, RI, CCN 410012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
LP03468RIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thundermist Health Center CurrentSince Aug 5, 2018 Accepting new patients
Affinity Physicians LLC CurrentSince Oct 1, 2018 Accepting new patients
Affinity Physicians LLC. Family Medicine CurrentSince Oct 1, 2018 Accepting new patients
Thundermist Health Center Current Accepting new patients
Thundermist Health Center CurrentSince Aug 5, 2018 Accepting new patients

Locations

111 Brewster St
Pawtucket, RI 02860
Phone (401) 729-2000

1 River St
Wakefield, RI 02879
Phone (401) 783-0523

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

186 Providence St
West Warwick, RI 02893
Phone (401) 615-2800

191 Social St
Woonsocket, RI 02895
Phone (401) 597-6500

450 Clinton St
Woonsocket, RI 02895

25 John a Cummings Way
Ste 302
Woonsocket, RI 02895

Interoperability endpoints

  • Direct secure messaging: cgraham17268@direct.carene.org
  • Direct secure messaging: chelsea.graham@thundermist.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DCBEAA

Organizations & group practices 5

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 1

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": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1114306776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 PROVIDENCE ST",
            "city": "WEST WARWICK",
            "state": "RI",
            "postal_code": "028932508",
            "telephone_number": "401-615-2800",
            "fax_number": "401-615-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RIVER ST",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793214",
            "telephone_number": "401-767-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Brewster St",
            "address_2": "FCC-B",
            "address_purpose": "LOCATION",
            "city": "Pawtucket",
            "state": "RI",
            "postal_code": "028604474",
            "country_code": "US",
            "telephone_number": "401-729-2206",
            "fax_number": "401-729-3495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "186 Providence St",
            "address_purpose": "LOCATION",
            "city": "West Warwick",
            "state": "RI",
            "postal_code": "02893",
            "country_code": "US",
            "telephone_number": "401-615-2800",
            "fax_number": "401-615-2805",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Clinton St",
            "address_purpose": "LOCATION",
            "city": "Woonsocket",
            "state": "RI",
            "postal_code": "028953207",
            "country_code": "US",
            "telephone_number": "401-767-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Kingstown Rd",
            "address_purpose": "LOCATION",
            "city": "Narragansett",
            "state": "RI",
            "postal_code": "028823258",
            "country_code": "US",
            "telephone_number": "401-767-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "CHELSEA",
        "middle_name": "ERIN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-28",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "LP03468",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "DO00922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakefield, RI

Sources for this page

Verify at the official NPI Registry.