Individual provider Active NPI

Chelsea Caye Pugh

  • Family Nurse Practitioner
  • Mattoon, IL
National Provider Identifier
1356078646
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209025369 Issued in IL
Practice address
1000 Health Center Dr Ste 201
Mattoon, IL 61938-4639
Phone
(172) 584-0302
Fax
(217) 258-2353
NPI assigned
Aug 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209025369 IL Primary

Addresses

Primary practice location

1000 Health Center Dr Ste 201
Mattoon, IL 61938-4639

Mailing address

PO Box 372
Mattoon, IL 61938-0372

Other practice location 1

301 E Southline Rd
Tuscola, IL 61953-2014
Phone (217) 253-5231

Other practice location 2

200 N La Salle St Ste 1550
Chicago, IL 60601-1034
Phone (888) 660-4425

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220920001299 IL Practitioner - Nurse Practitioner 2860877347 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians

Practice addresses (Care Compare)

1000 Health Ctr Dr
Suite 201
Mattoon, IL 61938-4639
Phone (217) 258-4030

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209025369ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Illinois, LLC CurrentSince Jan 1, 2023 Accepting new patients
Midwest Post Acute Care PLLC CurrentSince Aug 1, 2022 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Mar 4, 2024 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Jun 3, 2024 Accepting new patients
Carle Health Care Incorporated CurrentSince Mar 4, 2024 Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Jun 3, 2024 Accepting new patients
Carle Health Care Incorporated Past Accepting new patients

Locations

422 E 4th St S
Arcola, IL 61910
Phone (217) 268-3022

716 18th St
Charleston, IL 61920
Phone (217) 345-7054

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

200 N La Salle St
Ste 1550
Chicago, IL 60601
Phone (773) 505-7027

400 W Washington Ave
Chrisman, IL 61924
Phone (217) 269-2105

1 Park Ln W
Clinton, IL 61727
Phone (217) 935-8500

300 N Marietta St
Greenup, IL 62428
Phone (217) 347-5000

701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

1000 Health Center Dr
Ste 201
Mattoon, IL 61938
Phone (217) 238-6055

1000 Palm Ave
Mattoon, IL 61938
Phone (217) 234-7403

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

418 S Memorial Park Rd
Newman, IL 61942
Phone (217) 837-2421

1203 Egyptian Trl
Tuscola, IL 61953
Phone (217) 253-4791

301 E Southline Rd
Tuscola, IL 61953
Phone (217) 253-5231

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1356078646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619380372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HEALTH CENTER DR STE 201",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384639",
            "telephone_number": "172-584-0302",
            "fax_number": "217-258-2353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 E Southline Rd",
            "address_purpose": "LOCATION",
            "city": "Tuscola",
            "state": "IL",
            "postal_code": "619532014",
            "country_code": "US",
            "telephone_number": "217-253-5231",
            "fax_number": "217-253-4082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 N La Salle St Ste 1550",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606011034",
            "country_code": "US",
            "telephone_number": "888-660-4425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUGH",
        "first_name": "CHELSEA",
        "middle_name": "CAYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209025369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattoon, IL

Sources for this page

Verify at the official NPI Registry.