Individual provider Active NPI

Chelsea Mantica

  • Family Nurse Practitioner
  • Albany, NY
National Provider Identifier
1144899659
Registry record updated Jun 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F347801-01 Issued in NY
Practice address
1438 Western Ave
Albany, NY 12203-3421
Phone
(315) 454-6000
NPI assigned
Jun 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2021

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 F347801-01 NY Primary

Addresses

Primary practice location

1438 Western Ave
Albany, NY 12203-3421

Mailing address

1438 Western Ave
Albany, NY 12203-3421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20210707002642 NY Practitioner - Nurse Practitioner 4486056850 Reassigns benefits to 1 organization

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
Saratoga Schenectady Gastroenterology Associates, PCGroup PAC ID 6608855168, 31 clinicians

Practice addresses (Care Compare)

848 State Route 50
Burnt Hills, NY 12027-9511
Phone 51883115001100

Hospital & facility affiliations

  • Ellis Hospital Hospital, Schenectady, NY, CCN 330153
  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222
  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013
  • St Marys Healthcare Hospital, Amsterdam, NY, CCN 330047

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F347801-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Schenectady Gastroenterology Associates, PC CurrentSince Oct 1, 2023 Accepting new patients

Locations

848 State Route 50
Burnt Hills, NY 12027
Phone (518) 831-1500

846 State Route 50
Burnt Hills, NY 12027

1770 Route 9
Halfmoon, NY 12065
Phone (518) 688-1380

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FECGDD

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.

Hospital & facility affiliations 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624060800000",
    "number": "1144899659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1438 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1438 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033421",
            "telephone_number": "315-454-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTICA",
        "first_name": "CHELSEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-19",
        "last_updated": "2021-06-19",
        "certification_date": "2021-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F347801-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.