Chelsey Herzig Donohue

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

3015682 Issued in KY

Practice address

108 Southridge Dr
Somerset, KY 42503-4841

Phone

(218) 349-7479

NPI assigned

Oct 4, 2020

Last updated

Jan 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, MN2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Memorial Hospital AssociationGroup PAC ID 0042129991, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Memorial Hospital Hospital, Cloquet, MN, CCN 241364

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Memorial Hospital Association

  • Critical Access Hospital
  • Cloquet, MN
  • NPI 1003869082
  Medicare reassignment Care Compare group NPD
• Firsthealth of the Carolinas, Inc

  dba Montgomery Memorial Hospital Professional Services

  • Certified Registered Nurse Anesthetist
  • Troy, NC
  • NPI 1053482596

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic

  dba FirstHealth Weight Management Clinic

  • Obesity Medicine (Preventive Medicine) Physician
  • Pinehurst, NC
  • NPI 1316626104
  NPD

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

• Community Memorial Hospital Association

  • Critical Access Hospital
  • Cloquet, MN
  • NPI 1003869082
  Care Compare affiliation

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

{
    "created_epoch": "1601769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1295332195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 SOUTHRIDGE DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425034841",
            "telephone_number": "218-349-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SOUTHRIDGE DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425034841",
            "telephone_number": "218-349-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOHUE",
        "first_name": "CHELSEY",
        "middle_name": "HERZIG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-04",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3015682",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "222451",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Dodds
• Don L Richardson, OD PSC
• Don Richardson,PSC (Richardson Optical)
• Donna S. Nall, MD, PSC
• Jennifer Donnelly
• Bobbie Jo Dop, CADC
• Stephanie Doss, LCSW
• Dr. Katherine King, DMD
• Robert G Drake Jr., MD
• Drez One, LLC

• Certified Registered Nurse Anesthetist in Somerset, KY
• Providers in Somerset, KY by specialty
• Certified Registered Nurse Anesthetist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.