Active NPI
Chelsey Haust
- Nurse Practitioner
- Waite Park, MN
National Provider Identifier
1144924853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 9516
- Practice address
- 901 3Rd St N
Waite Park, MN 56387-1964 - Phone
- (320) 217-8480
- NPI assigned
- Mar 28, 2023
- Last updated
- Aug 1, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 9516 | MN | Primary |
Addresses
Primary practice location
901 3Rd St N
Waite Park, MN 56387-1964
Mailing address
308 5TH Ave S Ste 140
Cold Spring, MN 56320-2341
Phone (320) 200-9992
Other practice location 1
308 5th Ave S Ste 140
Cold Spring, MN 56320-2341
Phone (320) 200-9992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
901 3Rd St N
Waite Park, MN 56387-1964
Phone (320) 217-8480
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9516 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rooted to Bloom Functional Medicine PLLC | Past | Accepting new patients |
Interoperability endpoints
- chelsey.l.haust.1@32275.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Medical Specialty Clinic/Center
- Waite Park, MN
- NPI 1033355086
-
- Clinic/Center
- Cold Spring, MN
- NPI 1639092125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785542400000",
"number": "1144924853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 5TH AVE S STE 140",
"city": "COLD SPRING",
"state": "MN",
"postal_code": "563202341",
"telephone_number": "320-200-9992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 3RD ST N",
"city": "WAITE PARK",
"state": "MN",
"postal_code": "563871964",
"telephone_number": "320-217-8480"
}
],
"practiceLocations": [
{
"address_1": "308 5th Ave S Ste 140",
"address_purpose": "LOCATION",
"city": "Cold Spring",
"state": "MN",
"postal_code": "563202341",
"country_code": "US",
"telephone_number": "320-200-9992",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAUST",
"first_name": "CHELSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-28",
"last_updated": "2026-08-01",
"certification_date": "2026-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "9516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waite Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.