Individual provider Active NPI

Chelsea Peris, CRNP

  • Gerontology Nurse Practitioner
  • Mechanicsburg, PA
National Provider Identifier
1396587630
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
SP030031 Issued in PA
Practice address
2020 Technology Pkwy Ste 201
Mechanicsburg, PA 17050-9411
Phone
(717) 731-0101
Fax
(717) 731-8359
NPI assigned
Jun 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN721324 PA
Adult Health Nurse Practitioner 363LA2200X SP030031 PA
Gerontology Nurse Practitioner 363LG0600X SP030031 PA Primary

Addresses

Primary practice location

2020 Technology Pkwy Ste 201
Mechanicsburg, PA 17050-9411

Mailing address

2020 Technology Pkwy Ste 201
Mechanicsburg, PA 17050-9411
Phone (717) 731-0101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240815004761 PA Practitioner - Nurse Practitioner 1355889734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Cardiovascular Institute IncGroup PAC ID 6901087006, 117 clinicians

Practice addresses (Care Compare)

2020 Technology Pkwy
Suite 201
Mechanicsburg, PA 17050-9411
Phone (717) 731-0101

Hospital & facility affiliations

  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN721324PAMDCritical Care Medicine Registered Nurse
SP030031PAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Cardiovascular Institute Inc CurrentSince Aug 1, 2024 Accepting new patients

Locations

360 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-6557

2020 Technology Pkwy
Ste 201
Mechanicsburg, PA 17050

Interoperability endpoints

  • Direct secure messaging: cperis424564@upmc.direct-ci.com

Organizations & group practices 1

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 7

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": "1717718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1396587630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 TECHNOLOGY PKWY STE 201",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170509411",
            "telephone_number": "717-731-0101",
            "fax_number": "717-731-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 TECHNOLOGY PKWY STE 201",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170509411",
            "telephone_number": "717-731-0101",
            "fax_number": "717-731-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERIS",
        "first_name": "CHELSEA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "PA",
            "license": "RN721324",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP030031",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP030031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.