Active NPI
Chelsey M Medsker, ABOC, NCLEC
- Optician
- Portage, WI
National Provider Identifier
1144035585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 258949
- Practice address
- 2950 New Pinery Rd
Portage, WI 53901-9225 - Phone
- (608) 745-6877
- Fax
- (608) 745-6864
- NPI assigned
- Feb 12, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contact Lens Technician/Technologist | 156FC0800X | 258949 | WI | |
| Contact Lens Fitter | 156FC0801X | 258949 | WI | |
| Optician | 156FX1800X | 258949 | WI | Primary |
Addresses
Primary practice location
2950 New Pinery Rd
Portage, WI 53901-9225
Mailing address
2950 New Pinery Rd
Portage, WI 53901-9225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258949 | WI | MD | Contact Lens Technician/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1144035585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 NEW PINERY RD",
"city": "PORTAGE",
"state": "WI",
"postal_code": "539019225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 NEW PINERY RD",
"city": "PORTAGE",
"state": "WI",
"postal_code": "539019225",
"telephone_number": "608-745-6877",
"fax_number": "608-745-6864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDSKER",
"first_name": "CHELSEY",
"middle_name": "M",
"credential": "ABOC, NCLEC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-12",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "156FC0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Contact Lens",
"state": "WI",
"license": "258949",
"primary": false
},
{
"code": "156FC0801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Contact Lens Fitter",
"state": "WI",
"license": "258949",
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "WI",
"license": "258949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portage, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.