NPIMap

Individual provider Active NPI

Chelsea Lyn Daniels, DO

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Saint Louis, MO
National Provider Identifier
1194384560
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
2022012999 Issued in MO
Practice address
3009 N Ballas Rd Ste 383C
Saint Louis, MO 63131-2324
Phone
(314) 305-1447
Fax
(314) 996-4546
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2022012999 MO
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 2022012999 MO Primary

Addresses

Primary practice location

3009 N Ballas Rd Ste 383C
Saint Louis, MO 63131-2324

Mailing address

PO Box 959203
Saint Louis, MO 63195-9354
Phone (314) 305-1447

Other practice location 1

621 S New Ballas Rd Ste 6017B
Saint Louis, MO 63141-8274
Phone (314) 251-7840

Other names 1

  • Chelsea Lyn Wallace Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230829000412 MO Practitioner - Family Practice 0446586630 Reassigns benefits to 1 organization
I20260203002800 MO Practitioner - Hospice/Palliative Care 0446586630 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2022012999MOMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Heights Medical Group SC CurrentSince Jan 6, 2026 Accepting new patients
Mercy Clinic East Communities Family Medicine Current Accepting new patients
Fairview Heights Medical Group SC CurrentSince Jan 6, 2026 Accepting new patients
Mercy Clinic Palliative Care, LLC Hospice and Palliative Medicine CurrentSince Aug 1, 2023 Accepting new patients
Pacific Manor LLC Past Accepting new patients
Delmar Gardens North Operating, LLC Past Accepting new patients
Sunset Healthcare, LLC Past Accepting new patients
Delmar Gardens West Operating, LLC Past Accepting new patients
Manor Grove, Inc. Past Accepting new patients
Crystal Oaks Nursing and Rehab LLC Past Accepting new patients
Eldercare of Mid-Missouri Xiv Inc. Past Accepting new patients

Locations

3009 N Ballas Rd
Ste 383C
Saint Louis, MO 63131
Phone (314) 305-1447

621 S New Ballas Rd
Ste 6017B
Saint Louis, MO 63141
Phone (314) 251-4652

12680 Olive Blvd
Ste 300
Saint Louis, MO 63141
Phone (314) 251-8888

3637 S Geyer Rd
Saint Louis, MO 63127
Phone (314) 251-4659

11155 Dunn Rd
Ste 109N
Saint Louis, MO 63136
Phone (314) 837-3784

851 E 5th St
Ste 328
Washington, MO 63090
Phone (636) 239-1101

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Stonebridge OwensvilleOwensville, MO, CCN 265670 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 6, 2025
Jan 6, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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 11

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

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative Care
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fairview Heights Medical Group SC 448 clinicians
Mercy Clinic Palliative Care LLC 11 clinicians

Practice addresses (Care Compare)

3009 N Ballas Rd
Suite 383C
Saint Louis, MO 63131-2324
Phone (314) 305-1447

621 S New Ballas Rd
6017B Mercy Clinic Palliative Care Medi
Saint Louis, MO 63141-8274
Phone (314) 251-7840

Hospital & facility affiliations

  • BJC Hospice Hospice, Saint Louis, MO, CCN 261511
  • Bristol Hospice - St Louis Hospice, Saint Louis, MO, CCN 261620
  • Mercy Hospice Hospice, Saint Louis, MO, CCN 261510
  • Three Rivers Hospice Central Hospice, Jefferson City, MO, CCN 261692
  • Gentiva Hospice, Saint Louis, MO, CCN 261550
  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • Grove at Kirkwood, the Nursing home, Kirkwood, MO, CCN 265833
  • Delmar Gardens West Nursing home, Town and Country, MO, CCN 265105
  • Crystal Oaks Nursing home, Festus, MO, CCN 265369
  • Delmar Gardens North Nursing home, Black Jack, MO, CCN 265325

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1194384560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959203",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631959354",
            "telephone_number": "314-305-1447",
            "fax_number": "314-996-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 N BALLAS RD STE 383C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312324",
            "telephone_number": "314-305-1447",
            "fax_number": "314-996-4546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 S New Ballas Rd Ste 6017B",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418274",
            "country_code": "US",
            "telephone_number": "314-251-7840",
            "fax_number": "314-251-4173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "CHELSEA",
        "middle_name": "LYN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2022012999",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MO",
            "license": "2022012999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3009 N Ballas Rd Ste 383C",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631312324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "WALLACE",
            "middle_name": "LYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.