Individual provider Active NPI

Chelsea C Swistock, NP

  • Nurse Practitioner
  • Royal Oak, MI
National Provider Identifier
1275001968
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704308824 Issued in MI
Practice address
3555 W 13 Mile Rd # N120
Royal Oak, MI 48073-6710
Phone
(855) 863-8761
NPI assigned
Nov 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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 4704308824 MI Primary

Addresses

Primary practice location

3555 W 13 Mile Rd # N120
Royal Oak, MI 48073-6710

Mailing address

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033-3849
Phone (947) 522-1859

Other names 1

  • Chelsea Wolford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20220322002079 TN Practitioner - Nurse Practitioner 4688918196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wayne State University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infusion Express of Tennessee PCGroup PAC ID 3072849637, 42 clinicians

Practice addresses (Care Compare)

5111 Peter Taylor Park Dr
Suite 500
Brentwood, TN 37027-2398
Phone (615) 510-6002

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion Express of Tennessee, PC CurrentSince Mar 14, 2022 Accepting new patients
Precision Health Care, Inc Past Accepting new patients
Ivxpress Inc PastSince Mar 14, 2022 Accepting new patients

Locations

214 Centerview Dr
Ste 250
Brentwood, TN 37027
Phone (847) 420-0686

5111 Peter Taylor Park Dr
Ste 500
Brentwood, TN 37027
Phone (615) 510-6002

7443 Commons Blvd
Ste 114
Chattanooga, TN 37421
Phone (423) 558-0677

1006 Glenbrook Way
Ste 130
Hendersonville, TN 37075
Phone (615) 505-4882

11609 Parkside Dr
Knoxville, TN 37934
Phone (865) 205-9590

6216 Highland Place Way
Ste 101
Knoxville, TN 37919
Phone (865) 243-8100

10910 Kingston Pike
Unit 101
Knoxville, TN 37934
Phone (865) 675-2050

2249 Sandstone Dr
Morristown, TN 37814
Phone (423) 352-4063

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1275001968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD",
            "address_2": "STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849",
            "telephone_number": "947-522-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 W 13 MILE RD # N120",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736710",
            "telephone_number": "855-863-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWISTOCK",
        "first_name": "CHELSEA",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704308824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "WOLFORD",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.