NPIMap

Individual provider Active NPI

Chelsea Tripp Shepherd, CRNP

  • Adult Health Nurse Practitioner
  • Bethlehem, PA
National Provider Identifier
1376890046
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP012120 Issued in PA
Practice address
511 E 3Rd St
St Luke's Southside Medical Center Special Care Clinic
Bethlehem, PA 18015-2072
Phone
(494) 526-2062
NPI assigned
Aug 13, 2012
Last updated
Aug 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP012120 PA Primary

Addresses

Primary practice location

511 E 3Rd St
St Luke's Southside Medical Center Special Care Clinic
Bethlehem, PA 18015-2072

Mailing address

511 E 3Rd St
St Luke's Southside Medical Center Special Care Clinic
Bethlehem, PA 18015-2072
Phone (494) 526-2062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141020000526 PA Practitioner - Nurse Practitioner 6507087467 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

701 Ostrum St
Suite 103
Fountain Hill, PA 18015-1152
Phone (484) 526-6200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP012120PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Hospital CurrentSince Aug 26, 2014 Accepting new patients
St Luke's Hospital CurrentSince Aug 26, 2014 Accepting new patients
St. Luke's Hospital Current Accepting new patients
St. Luke's Physician Group Inc. CurrentSince Nov 1, 2015 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Nov 1, 2015 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients
St. Luke's Hospital Past Accepting new patients

Locations

1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

511 E 3rd St
Bethlehem, PA 18015
Phone (484) 526-2460

701 Ostrum St
Ste 103
Fountain Hill, PA 18015
Phone (484) 526-6409

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: chelsea.shepard@slpg.direct-sluhn.org

Organizations & group practices 8

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": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1376890046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 E 3RD ST",
            "address_2": "ST LUKE'S SOUTHSIDE MEDICAL CENTER SPECIAL CARE CLINIC",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180152072",
            "telephone_number": "494-526-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 E 3RD ST",
            "address_2": "ST LUKE'S SOUTHSIDE MEDICAL CENTER SPECIAL CARE CLINIC",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180152072",
            "telephone_number": "494-526-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "CHELSEA",
        "middle_name": "TRIPP",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP012120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.