Individual provider Active NPI

Chelsea Kennedy Harris, CRNA, DNP

  • Certified Registered Nurse Anesthetist
  • Winston Salem, NC
National Provider Identifier
1356976161
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
138479 Issued in NC
Practice address
1 Medical Center Blvd
Winston Salem, NC 27157-7505
Phone
(888) 716-9253
NPI assigned
Mar 12, 2020
Last updated
Aug 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 138479 NC Primary
Student in an Organized Health Care Education/Training Program 390200000X
Registered Nurse 163W00000X 277569 NC

Addresses

Primary practice location

1 Medical Center Blvd
Winston Salem, NC 27157-7505

Mailing address

3545 Harmony Hwy
Harmony, NC 28634-9438
Phone (704) 929-1802

Other practice location 1

3345 Harmony Hwy
Harmony, NC 28634
Phone (704) 929-1802

Other practice location 2

4420 Lake Boone Trail
Raleigh, NC 27607-7505
Phone (704) 929-1802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221103003013 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 0648647644 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

557 Brookdale Dr
Statesville, NC 28677-4107
Phone (704) 873-5661

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
277569NCMDRegistered Nurse
138479NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Sep 19, 2022 Accepting new patients
Iredell Memorial Hospital Incorporated CurrentSince Sep 1, 2024 Accepting new patients
Iredell Memorial Hospital, Incorporated Current Accepting new patients
Iredell Physician Network LLC CurrentSince Jan 5, 2026 Accepting new patients
Iredell Physician Network, LLC CurrentSince Jan 5, 2026 Accepting new patients
Iredell Memorial Hospital, Incorporated CurrentSince Sep 1, 2024 Accepting new patients

Locations

653 Bluefield Rd
Ste D
Mooresville, NC 28117
Phone (704) 360-6470

557 Brookdale Dr
Statesville, NC 28677
Phone (330) 445-4361

766 Hartness Rd
Statesville, NC 28677
Phone (704) 838-2182

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1356976161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 HARMONY HWY",
            "city": "HARMONY",
            "state": "NC",
            "postal_code": "286349438",
            "telephone_number": "704-929-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271577505",
            "telephone_number": "888-716-9253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3345 Harmony Hwy",
            "address_purpose": "LOCATION",
            "city": "Harmony",
            "state": "NC",
            "postal_code": "28634",
            "country_code": "US",
            "telephone_number": "704-929-1802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4420 Lake Boone Trail",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276077505",
            "country_code": "US",
            "telephone_number": "704-929-1802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CHELSEA",
        "middle_name": "KENNEDY",
        "name_prefix": "Mrs.",
        "credential": "CRNA, DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "138479",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "277569",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.