Individual provider Active NPI

Chelsea Rae Johnson, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Grand Island, NE
National Provider Identifier
1194489575
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
113884 Issued in NE
Practice address
914 Baumann Dr
Grand Island, NE 68803-4401
Phone
(308) 385-5250
NPI assigned
Oct 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 113884 NE Primary

Addresses

Primary practice location

914 Baumann Dr
Grand Island, NE 68803-4401

Mailing address

123 Meadowlark Cir
Doniphan, NE 68832-9812
Phone (308) 920-1139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20211117001517 NE Practitioner - Nurse Practitioner 0840689659 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Mary Lanning Memorial Hospital AssociationGroup PAC ID 4587575550, 129 clinicians

Practice addresses (Care Compare)

835 S Burlington Ave
108 Lanning Center for Behavioral Servi
Hastings, NE 68901-6928
Phone (402) 463-7711

914 Baumann Dr
Grand Island, NE 68803-4401
Phone (308) 385-5250

Hospital & facility affiliations

  • Phelps Memorial Health Center Hospital, Holdrege, NE, CCN 281362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Plains Center for Behavioral Healthcare Services, Inc. Single Specialty CurrentSince Oct 25, 2021 Accepting new patients
The Mary Lanning Memorial Hospital Association Single Specialty CurrentSince Jan 1, 2022 Accepting new patients
Phelps Memorial Health Center Current Accepting new patients
Phelps Memorial Health Center Single Specialty CurrentSince Jan 1, 2022 Accepting new patients
Phelps Memorial Health Center Single Specialty CurrentSince Jan 1, 2022 Accepting new patients
The Mary Lanning Memorial Hospital Association Single Specialty CurrentSince Jan 1, 2022 Accepting new patients

Locations

914 Baumann Dr
Grand Island, NE 68803
Phone (308) 385-5250

715 N Saint Joseph Ave
Hastings, NE 68901
Phone (402) 461-5036

835 S Burlington Ave
Ste 108
Hastings, NE 68901
Phone (402) 463-7711

1215 Tibbals St
Holdrege, NE 68949
Phone (308) 995-2211

Interoperability endpoints

  • Direct secure messaging: cjohnson322167@direct.nebraskamed.com

Organizations & group practices 6

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1194489575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 MEADOWLARK CIR",
            "city": "DONIPHAN",
            "state": "NE",
            "postal_code": "688329812",
            "telephone_number": "308-920-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 BAUMANN DR",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034401",
            "telephone_number": "308-385-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHELSEA",
        "middle_name": "RAE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "113884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

Verify at the official NPI Registry.