NPIMap

Individual provider Active NPI

Chelse R Johnson

  • Family Nurse Practitioner
  • Barboursville, WV
National Provider Identifier
1194370676
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
103859 Issued in WV
Practice address
2 Chateau Grove LN
Barboursville, WV 25504-1626
Phone
(304) 736-9662
NPI assigned
Aug 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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 103859 WV Primary

Addresses

Primary practice location

2 Chateau Grove LN
Barboursville, WV 25504-1626

Mailing address

97 Great Teays Blvd Ste 6
Scott Depot, WV 25560-9816
Phone (304) 757-6999

Other practice location 1

55 Donohoe Dr
Huntington, WV 25705-8887
Phone (304) 525-7851

Other practice location 2

511 Morris St
Charleston, WV 25301-1326
Phone (304) 525-7851

Other names 1

  • Chelse R Jobe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190821001608 WV Practitioner - Nurse Practitioner 9032447685 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

511 Morris St
Charleston, WV 25301-1326
Phone (304) 525-7851

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Womencare, Inc CurrentSince Dec 22, 2022 Accepting new patients
Womencare Inc CurrentSince Dec 22, 2022 Accepting new patients
Womencare Inc Current Accepting new patients
Women Care Inc Family Current Accepting new patients
Prestera Center for Mental Health Services Inc Family CurrentSince Jan 6, 2020 Accepting new patients
Womencare Inc CurrentSince Dec 22, 2022 Accepting new patients
Matrix Medical Plus CurrentSince Apr 1, 2023 Accepting new patients
Womencare, Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc CurrentSince Aug 1, 2023 Accepting new patients
Womencare, Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc CurrentSince Dec 22, 2022 Accepting new patients
Womencare Inc CurrentSince Dec 20, 2022 Accepting new patients
Prestera Center for Mental Health Services Inc CurrentSince Jan 6, 2020 Accepting new patients
Womencare, Inc Current Accepting new patients
Womencare Inc CurrentSince Dec 22, 2022 Accepting new patients
Womencare, Inc CurrentSince Dec 20, 2022 Accepting new patients
Womencare Inc CurrentSince Dec 22, 2022 Accepting new patients
Womencare Inc CurrentSince Dec 22, 2022 Accepting new patients
Womencare Inc CurrentSince Dec 22, 2022 Accepting new patients
Valley Health Systems Inc Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

2 Chateau Ln
Barboursville, WV 25504
Phone (304) 736-9459

99 Cracker Barrel Dr
Ste 100
Barboursville, WV 25504
Phone 30452578512514

511 Morris St
Charleston, WV 25301
Phone (304) 341-0511

108 Washington St W
#201
Charleston, WV 25302
Phone (304) 757-4845

209 Washington St W
Charleston, WV 25302
Phone 24852821166

511 Morris St
Ste 306
Charleston, WV 25301

1220 Lee St E
Ste 201
Charleston, WV 25301
Phone (304) 342-7186

116 Hills Plz
Charleston, WV 25387
Phone (304) 720-4446

812 Park Ave
#35
Charleston, WV 25302
Phone (304) 720-4466

800 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 388-2550

501 Stockton St
Charleston, WV 25387
Phone (304) 720-4466

5161 Washington St W
Cross Lanes, WV 25313
Phone (304) 722-7600

376 Kenmore Dr
Danville, WV 25053
Phone (304) 369-1930

301 Washington Ave
Dunbar, WV 25064
Phone (304) 766-3323

503 Roosevelt Blvd
Eleanor, WV 25070
Phone (304) 586-0001

55 Donohoe Dr
Huntington, WV 25705

3911 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 757-4845

515 Main St
Madison, WV 25130
Phone (304) 369-0393

9709 Maccorkle Ave
#B
Marmet, WV 25315

712 Main St
Pt Pleasant, WV 25550

97 Great Teays Blvd
Ste 6
Scott Depot, WV 25560

12803 Winfield Rd
Winfield, WV 25213
Phone (304) 586-3088

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7363/brand/1/csg/1/fhir/r4

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1194370676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 GREAT TEAYS BLVD STE 6",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255609816",
            "telephone_number": "304-757-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CHATEAU GROVE LN",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041626",
            "telephone_number": "304-736-9662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Donohoe Dr",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257058887",
            "country_code": "US",
            "telephone_number": "304-525-7851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "511 Morris St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011326",
            "country_code": "US",
            "telephone_number": "304-525-7851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHELSE",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "103859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSE",
            "last_name": "JOBE",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Barboursville, WV

Sources for this page

Verify at the official NPI Registry.