Individual provider Active NPI

Chelsey Elizabeth Parks, NP

  • Family Nurse Practitioner
  • Bolivar, TN
National Provider Identifier
1376113787
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29672 Issued in TN
Practice address
10710 Old Highway 64
Bolivar, TN 38008-3587
Phone
(731) 658-6113
NPI assigned
Jun 28, 2021
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 29672 TN Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 29672 TN

Addresses

Primary practice location

10710 Old Highway 64
Bolivar, TN 38008-3587

Mailing address

15001 S 1St St
Milan, TN 38358-5132
Phone (731) 613-2535

Other practice location 1

15001 S 1st St
Milan, TN 38358-5132
Phone (731) 613-2535

Other practice location 2

400 US Highway 45 W
Humboldt, TN 38343-8503
Phone (731) 784-7773

Other practice location 3

176C W University Pkwy # C
Jackson, TN 38305-1616
Phone (731) 660-6915

Other practice location 4

472 W Poplar Ave Ste 101
Collierville, TN 38017-2569
Phone (901) 854-5771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20210901000174 TN Practitioner - Nurse Practitioner 2163828062 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Walk in Clinic, Inc.Group PAC ID 6608850722, 7 clinicians
Mental Health Centers and Clinics of TennesseeGroup PAC ID 3678475621, 13 clinicians

Practice addresses (Care Compare)

400 US Hwy 45 W
Three Way, TN 38343-8503
Phone (731) 784-7773

925 E Main St
Henderson, TN 38340-1709
Phone (731) 989-3401

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Urgent Care LLC CurrentSince Jul 21, 2021 Accepting new patients
Mental Health Centers & Clinics of Tennessee CurrentSince Jun 23, 2025 Accepting new patients
First Choice Wellness PLLC CurrentSince Jun 16, 2026 Accepting new patients
Family Care Walk in Clinic, Inc. Family CurrentSince Nov 10, 2021 Accepting new patients

Locations

10710 Old Highway 64
Bolivar, TN 38008
Phone (731) 658-6113

472 W Poplar Ave
Ste 100
Collierville, TN 38017
Phone (901) 854-5771

472 W Poplar Ave
Ste 201
Collierville, TN 38017
Phone (901) 854-5771

925 E Main St
Henderson, TN 38340
Phone (731) 989-3401

176 W University Pkwy
Ste C
Jackson, TN 38305
Phone (731) 660-6915

45 Executive Dr
Jackson, TN 38305
Phone (731) 664-2083

15001 S 1st St
Milan, TN 38358
Phone (731) 613-2535

400 US Highway 45 W
Three Way, TN 38343
Phone (731) 784-7771

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26685/brand/1/csg/1/fhir/r4

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, 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": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1376113787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15001 S 1ST ST",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383585132",
            "telephone_number": "731-613-2535",
            "fax_number": "731-613-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 OLD HIGHWAY 64",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380083587",
            "telephone_number": "731-658-6113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15001 S 1st St",
            "address_purpose": "LOCATION",
            "city": "Milan",
            "state": "TN",
            "postal_code": "383585132",
            "country_code": "US",
            "telephone_number": "731-613-2535",
            "fax_number": "731-613-2534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 US Highway 45 W",
            "address_purpose": "LOCATION",
            "city": "Humboldt",
            "state": "TN",
            "postal_code": "383438503",
            "country_code": "US",
            "telephone_number": "731-784-7773",
            "fax_number": "731-784-0001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "176C W University Pkwy # C",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383051616",
            "country_code": "US",
            "telephone_number": "731-660-6915",
            "fax_number": "731-668-4557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "472 W Poplar Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Collierville",
            "state": "TN",
            "postal_code": "380172569",
            "country_code": "US",
            "telephone_number": "901-854-5771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKS",
        "first_name": "CHELSEY",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "29672",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "29672",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolivar, TN

Sources for this page

Verify at the official NPI Registry.