Individual provider Active NPI

Chelsea Leigh McDonald, DO

  • Family Medicine Physician
  • Owasso, OK
National Provider Identifier
1326509092
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7014 Issued in OK
Practice address
8551 N 125TH East Ave Ste 175
Owasso, OK 74055-2297
Phone
(918) 265-3797
NPI assigned
Mar 26, 2019
Last updated
Jun 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7014 OK Primary

Addresses

Primary practice location

8551 N 125TH East Ave Ste 175
Owasso, OK 74055-2297

Mailing address

1103 W 19TH St
Claremore, OK 74017-2628
Phone (479) 283-4578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221027001835 OK Practitioner - Family Practice 2264809680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5319 S Mill St
Pryor Family Medical Center
Pryor, OK 74361-6839
Phone (918) 772-3390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
7014OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Oklahoma Community Health Centers Inc Current Accepting new patients
Northeastern Oklahoma Community Health Centers Inc CurrentSince Sep 27, 2022 Accepting new patients
Remedy Health Direct Primary Care CurrentSince Jun 21, 2022 Accepting new patients
Northeastern Oklahoma Community Health Centers, Inc CurrentSince Sep 27, 2022 Accepting new patients
Remedy Health Direct Primary Care Family Medicine PastSince Jun 21, 2022 Accepting new patients
Northeastern Oklahoma Community Health Centers, Inc Past Accepting new patients

Locations

124 E Main St
Hulbert, OK 74441
Phone (918) 772-2879

8551 N 125th East Ave
Ste 175
Owasso, OK 74055
Phone (918) 265-3797

5319 S Mill St
Pryor, OK 74361
Phone (918) 772-3390

1500 E Downing St
Ste 201
Tahlequah, OK 74464
Phone (918) 772-3390

Interoperability endpoints

  • Direct secure messaging: chelsea.mcdonald@133635819438084.direct.elationemr.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, 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": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1326509092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 W 19TH ST",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740172628",
            "telephone_number": "479-283-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8551 N 125TH EAST AVE STE 175",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740552297",
            "telephone_number": "918-265-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "CHELSEA",
        "middle_name": "LEIGH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "7014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

Verify at the official NPI Registry.