Chelsa Everley Krech, MSN, ARNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

G143507 Issued in IA

Practice address

102 Forest Rd
Davenport, IA 52803-3611

Phone

(217) 851-5841

Fax

(563) 726-7522

NPI assigned

Sep 29, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Miss Chelsa Dawn Everley Former name

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

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.

• Chestnut Health Systems Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bloomington, IL
  • NPI 1366431686
  Medicare reassignment NPD
• Chestnut Health Systems Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wood River, IL
  • NPI 1235941311
  NPD
• Advanced Psychiatric Services

  • Psychiatry Physician
  • Sullivan, MO
  • NPI 1457303877
  NPD (past)
• Sinnissippi Centers, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rochelle, IL
  • NPI 1407143837
  NPD (past)

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1295019941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 FOREST RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528033611",
            "telephone_number": "217-851-5841",
            "fax_number": "563-726-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 FOREST RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528033611",
            "telephone_number": "217-851-5841",
            "fax_number": "563-726-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRECH",
        "first_name": "CHELSA",
        "middle_name": "EVERLEY",
        "name_prefix": "Mrs.",
        "credential": "MSN, ARNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2011032979",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209009820",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G143507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSA",
            "last_name": "EVERLEY",
            "middle_name": "DAWN",
            "prefix": "MISS",
            "credential": "MSN, RN, PMHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yunus Kowi, D.C
• Kaelene Kragenbrink-Voorhees, ATC, LAT
• Michael R Kramer, AUDIOLOGIST
• Krystle Krauss, CADC
• Kenneth Robert Krayenhagen, D.C.
• Cody Krech, D.M.D
• Kelly Jean Kreiter Penning
• Richard L Kreiter, MD
• Timothy P Kresowik, M.D.
• Michelle Renee Krieger, M.S.CCC/SLP,C.O.M.

• Psychiatric/Mental Health Nurse Practitioner in Davenport, IA
• Providers in Davenport, IA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.