Individual provider Active NPI

Chelsea Douglas, NP

  • Nurse Practitioner
  • Mangonia Park, FL
National Provider Identifier
1184566267
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11046520 Issued in FL
Practice address
901 45TH St
Mangonia Park, FL 33407-2413
Phone
(561) 844-6300
NPI assigned
Apr 7, 2026
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11046520 FL Primary

Addresses

Primary practice location

901 45TH St
Mangonia Park, FL 33407-2413

Mailing address

1620 Southern Blvd
West Palm Beach, FL 33406-3242
Phone (561) 800-4111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1501 SW Leisure LN
Port Saint Lucie, FL 34953-1636

1620 Southern Blvd
West Palm Beach, FL 33406-3242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11046520FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Invision Health Florida, LLC CurrentSince Jul 15, 2026 Accepting new patients
South Florida Trauma and Acute Care Surgery PLLC PastSince Jul 15, 2026 Accepting new patients

Locations

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

1620 Southern Blvd
West Palm Beach, FL 33406
Phone (561) 799-9559

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.

NPI Registry JSON

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

{
    "created_epoch": "1775520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1184566267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 SOUTHERN BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334063242",
            "telephone_number": "561-800-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 45TH ST",
            "city": "MANGONIA PARK",
            "state": "FL",
            "postal_code": "334072413",
            "telephone_number": "561-844-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "CHELSEA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-07",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11046520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mangonia Park, FL

Sources for this page

Verify at the official NPI Registry.