Individual provider Active NPI

Chelsea Ebbert, FNP-C

  • Primary Care Nurse Practitioner
  • Wheeling, WV
National Provider Identifier
1366151797
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
114653 Issued in WV
Practice address
980 National Rd
Wheeling, WV 26003-6404
Phone
(304) 243-3720
NPI assigned
Nov 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 114653 WV Primary

Addresses

Primary practice location

980 National Rd
Wheeling, WV 26003-6404

Mailing address

555 Fairmont Pike
Wheeling, WV 26003-1328
Phone (304) 780-9766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20221215001139 WV Practitioner - Nurse Practitioner 2860861713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wheeling Hospital IncGroup PAC ID 5799689493, 433 clinicians

Practice addresses (Care Compare)

1 Medical Park
Wheeling, WV 26003-6379

980 National Rd
Wheeling, WV 26003-6441
Phone (304) 243-3720

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wheeling Hospital Inc CurrentSince Jan 2, 2023 Accepting new patients
Wheeling Hospital Inc CurrentSince Jan 2, 2023 Accepting new patients

Locations

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

980 National Rd
Wheeling, WV 26003
Phone (304) 243-3720

Interoperability endpoints

  • Direct secure messaging: cebbert37325@direct.wvuhsdirect.com

Organizations & group practices 2

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": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1366151797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 FAIRMONT PIKE",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260031328",
            "telephone_number": "304-780-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 NATIONAL RD",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036404",
            "telephone_number": "304-243-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBBERT",
        "first_name": "CHELSEA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WV",
            "license": "114653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.