Individual provider Active NPI

Chelsea Jeanne Johnson, FNP-C

  • Family Nurse Practitioner
  • Sun City, AZ
National Provider Identifier
1124553425
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP9979 Issued in AZ
Practice address
10249 W Thunderbird Blvd
Suite 300
Sun City, AZ 85351-3113
Phone
(623) 322-5900
Fax
(623) 249-4344
NPI assigned
Apr 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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 AP9979 AZ Primary

Addresses

Primary practice location

10249 W Thunderbird Blvd
Suite 300
Sun City, AZ 85351-3113

Mailing address

10249 W Thunderbird Blvd
Suite 300
Sun City, AZ 85351-3113
Phone (623) 322-5900

Other names 1

  • Chelsea Jeanne Meyers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 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

Enrollment IDStateProvider typePAC IDDetails
I20190328002486 AZ Practitioner - Nurse Practitioner 2062752090 Reassigns benefits to 5 organizations
I20241119004450 TX Practitioner - Nurse Practitioner 2062752090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dhew Ind HLTH SV HLTH SVS and MNTL HLTH AdmGroup PAC ID 1759290901, 219 clinicians

Practice addresses (Care Compare)

4212 N 16TH St
Phoenix, AZ 85016-5319
Phone (602) 263-1200

Hospital & facility affiliations

  • Phoenix Indian Medical Center Hospital, Phoenix, AZ, CCN 030078

Merit-based Incentive Payment System (MIPS)

Final score
95.59 of 100Reported as group
Quality
81.55
Promoting interoperability
100
Improvement activities
40
Cost
79.5

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Mar 1, 2019 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Sep 8, 2024 Accepting new patients
Tec Emergency Physicians of Arizona, LLC CurrentSince Jun 11, 2022 Accepting new patients
District Medical Group, Inc CurrentSince Mar 1, 2019 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Sep 8, 2024 Accepting new patients
Express Urgent Care, PC PastSince Sep 7, 2011 Accepting new patients
4C Medical Group PLC Past Accepting new patients
District Medical Group, Inc Past Accepting new patients

Locations

5102 W Campbell Ave
Phoenix, AZ 85031
Phone (623) 848-5000

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

3141 N 3rd Ave
Ste 100
Phoenix, AZ 85013
Phone (602) 914-1520

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

1419 W Hunt Hwy
San Tan Vly, AZ 85143
Phone (480) 245-4300

5125 S Rural Rd
Tempe, AZ 85282
Phone (480) 306-8780

Interoperability endpoints

  • Direct secure messaging: cjohnson192502@direct.valleywisehealth.org

Organizations & group practices 12

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": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1124553425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10249 W THUNDERBIRD BLVD",
            "address_2": "SUITE 300",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513113",
            "telephone_number": "623-322-5900",
            "fax_number": "623-249-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10249 W THUNDERBIRD BLVD",
            "address_2": "SUITE 300",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513113",
            "telephone_number": "623-322-5900",
            "fax_number": "623-249-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHELSEA",
        "middle_name": "JEANNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "MEYERS",
            "middle_name": "JEANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.