Individual provider Active NPI

Chelsea Henriques, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1114508140
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
256870 Issued in AZ
Practice address
33400 N 32ND Ave
Phoenix, AZ 85085-8876
Phone
(623) 683-5000
NPI assigned
Apr 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 256870 AZ Primary

Addresses

Primary practice location

33400 N 32ND Ave
Phoenix, AZ 85085-8876

Mailing address

2420 W Cordia LN
Phoenix, AZ 85085-5743
Phone (480) 290-1488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20211014001590 AZ Practitioner - Nurse Practitioner 1951709369 Reassigns benefits to 3 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
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians
Vituity - Arizona Hospitalists PCGroup PAC ID 5395163745, 70 clinicians

Practice addresses (Care Compare)

19646 N 27TH Ave
Suite 301
Phoenix, AZ 85027-4027
Phone (855) 485-4673

19829 N 27TH Ave
Phoenix, AZ 85027-4001
Phone (623) 879-6100

Hospital & facility affiliations

  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
256870AZMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth CurrentSince Feb 1, 2024 Accepting new patients
Vituity - Arizona Hospitalists PC CurrentSince Sep 27, 2021 Accepting new patients
Vituity - Arizona Hospitalists PC CurrentSince Sep 27, 2021 Accepting new patients
Honorhealth Current Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory CurrentSince Feb 1, 2024 Accepting new patients
Honorhealth Ambulatory CurrentSince Feb 1, 2024 Accepting new patients
Honorhealth CurrentSince Feb 1, 2024 Accepting new patients
Scottsdale Healthcare Past Accepting new patients
Honorhealth Ambulatory Acute Care Past Accepting new patients

Locations

5750 W Thunderbird Rd
Ste C300
Glendale, AZ 85306
Phone (602) 368-3045

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

19646 N 27th Ave
Ste 301
Phoenix, AZ 85027
Phone (623) 238-7700

33400 N 32nd Ave
Phoenix, AZ 85085
Phone (540) 998-0000

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

Organizations & group practices 10

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": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1114508140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 W CORDIA LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850855743",
            "telephone_number": "480-290-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33400 N 32ND AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850858876",
            "telephone_number": "623-683-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRIQUES",
        "first_name": "CHELSEA",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "256870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.