Individual provider Active NPI

Chelsea Ann Rorer, PMHNP-BC, AGACNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mililani, HI
National Provider Identifier
1356852016
Registry record updated Dec 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN3409 Issued in HI
Practice address
100 Kahelu Ave Ste 100
Mililani, HI 96789-3913
Phone
(808) 400-5805
Fax
(866) 756-3916
NPI assigned
Oct 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN3409 HI
Acute Care Nurse Practitioner 363LA2100X ARNP9349684 FL
Acute Care Nurse Practitioner 363LA2100X RN267073 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN267073 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP9349684 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN3409 HI Primary

Addresses

Primary practice location

100 Kahelu Ave Ste 100
Mililani, HI 96789-3913

Mailing address

100 Kahelu Ave Ste 100
Mililani, HI 96789-3913
Phone (808) 400-5805

Other practice location 1

1515 SW Archer Rd
Gainesville, FL 32608-1134
Phone (352) 733-0111

Other identifiers 1

IdentifierTypeStateIssuer
023220100MedicaidFL

Other names 1

  • Chelsea Ann Wardenski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180219000518 FL Practitioner - Nurse Practitioner 5698036408 Reassigns benefits to 1 organization
I20250304001255 HI Practitioner - Nurse Practitioner 5698036408 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
47.54 of 100Reported as apm
Quality
38.49
Promoting interoperability
0
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9349684FLMDAcute Care Nurse Practitioner
RN267073GAMDAcute Care Nurse Practitioner
APRN3409HIMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindwave Medicine LLC CurrentSince Jan 11, 2025 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jan 14, 2018 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Jan 14, 2018 Accepting new patients
Aloha Integrative Mental Health CurrentSince Mar 14, 2025 Accepting new patients

Locations

1515 SW Archer Rd
Gainesville, FL 32608
Phone (352) 265-0916

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
#100371
Gainesville, FL 32610
Phone (352) 265-8335

100 Kahelu Ave
Ste 100
Mililani, HI 96789
Phone (808) 400-5805

207 E 5th Ave
Ste 220
Eugene, OR 97401
Phone (541) 357-9323

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734825600000",
    "number": "1356852016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KAHELU AVE STE 100",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967893913",
            "telephone_number": "808-400-5805",
            "fax_number": "866-756-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KAHELU AVE STE 100",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967893913",
            "telephone_number": "808-400-5805",
            "fax_number": "866-756-3916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326081134",
            "country_code": "US",
            "telephone_number": "352-733-0111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RORER",
        "first_name": "CHELSEA",
        "middle_name": "ANN",
        "credential": "PMHNP-BC, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-20",
        "last_updated": "2024-12-22",
        "certification_date": "2024-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "HI",
            "license": "APRN3409",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP9349684",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN267073",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN267073",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP9349684",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "HI",
            "license": "APRN3409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023220100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "WARDENSKI",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mililani, HI

Sources for this page

Verify at the official NPI Registry.