Individual provider Active NPI

Chelsi Boykin, PA-C

  • Physician Assistant
  • Tyler, TX
National Provider Identifier
1306416409
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14685 Issued in TX
Practice address
619 S Fleishel Ave Ste 203
Tyler, TX 75701-2067
Phone
(903) 606-2299
NPI assigned
Jun 30, 2021
Last updated
Jun 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA14685 TX Primary

Addresses

Primary practice location

619 S Fleishel Ave Ste 203
Tyler, TX 75701-2067

Mailing address

619 S Fleishel Ave Ste 203
Tyler, TX 75701-2067
Phone (903) 606-1400

Other practice location 1

619 S Fleishel Ave Ste 327
Tyler, TX 75701-2019
Phone (903) 606-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20211102000745 TX Practitioner - Physician Assistant 8224426739 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

800 E Dawson St
Christus Trinity Clinic
Tyler, TX 75701-2036
Phone (903) 510-1186

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA14685TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince May 8, 2023 Accepting new patients
QV Urgent Care TX PLLC CurrentSince Oct 1, 2021 Accepting new patients
QV Urgent Care TX PLLC CurrentSince Oct 1, 2021 Accepting new patients
Christus Trinity Clinic Texas CurrentSince May 8, 2023 Accepting new patients

Locations

1600 US Highway 79 S
Henderson, TX 75654
Phone (903) 657-9571

1602 S Jackson St
Jacksonville, TX 75766
Phone (409) 782-5813

619 S Fleishel Ave
Ste 203
Tyler, TX 75701
Phone (903) 525-1400

619 S Fleishel Ave
Ste 327
Tyler, TX 75701
Phone (903) 510-1173

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: cboykin307800@christushealth.direct-ci.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1306416409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 S FLEISHEL AVE STE 203",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012067",
            "telephone_number": "903-606-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S FLEISHEL AVE STE 203",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012067",
            "telephone_number": "903-606-2299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 S Fleishel Ave Ste 327",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012019",
            "country_code": "US",
            "telephone_number": "903-606-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYKIN",
        "first_name": "CHELSI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.