Individual provider Active NPI

Chelsea Rose O'Neill, FNP

  • Family Nurse Practitioner
  • Royal Oak, MI
National Provider Identifier
1366078230
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704306690NSA190OI Issued in MI
Practice address
1223 S Washington Ave
Royal Oak, MI 48067-3221
Phone
(248) 439-1060
NPI assigned
Mar 23, 2020
Last updated
Mar 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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 4704306690NSA190OI MI Primary

Addresses

Primary practice location

1223 S Washington Ave
Royal Oak, MI 48067-3221

Mailing address

1655 N Shore Dr Apt A2
East Lansing, MI 48823-1785
Phone (248) 251-2891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20200812001710 MI Practitioner - Nurse Practitioner 0749610087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1223 S Washington Ave
Royal Oak, MI 48067-3221
Phone (248) 439-1060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704306690NSA190OIMIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC CurrentSince Apr 30, 2020 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Apr 30, 2020 Accepting new patients
Brooks Lyon & Brooks DO PC PastSince Jan 1, 2007 Accepting new patients

Locations

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

1223 S Washington Ave
Royal Oak, MI 48067
Phone (248) 395-0080

28477 Hoover Rd
Warren, MI 48093
Phone (586) 250-4040

3803 Elizabeth Lake Rd
Waterford, MI 48328
Phone (248) 221-7733

35640 W Michigan Ave
Wayne, MI 48184
Phone (517) 630-2446

309 Ecorse Rd
Ypsilanti, MI 48198
Phone (734) 484-0580

Interoperability endpoints

  • Direct secure messaging: chelseao'neill@gammons.directglo.com
  • Direct secure messaging: coneill1143443@direct.hfhs.org

Organizations & group practices 3

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": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1366078230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 N SHORE DR APT A2",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231785",
            "telephone_number": "248-251-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 S WASHINGTON AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673221",
            "telephone_number": "248-439-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "CHELSEA",
        "middle_name": "ROSE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704306690NSA190OI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.