Active NPI
Chelsey E Prugar, PA-C
- Physician Assistant
- Dover, NH
National Provider Identifier
1417312554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1153
- Practice address
- 82 Hidden Valley Dr
Dover, NH 03820-5216 - Phone
- (207) 351-5339
- NPI assigned
- Dec 16, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1153 | NH | Primary |
Addresses
Primary practice location
82 Hidden Valley Dr
Dover, NH 03820-5216
Mailing address
82 Hidden Valley Dr
Dover, NH 03820-5216
Phone (207) 351-5339
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3103419 | Medicaid | NH |
Other names 1
- Chelsey E Tewell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Gardendale, AL
- NPI 1881109452
NH
-
- Physical Medicine & Rehabilitation Physician
- Portland, ME
- NPI 1629430087
NH
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648512000000",
"number": "1417312554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 HIDDEN VALLEY DR",
"city": "DOVER",
"state": "NH",
"postal_code": "038205216",
"telephone_number": "207-351-5339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 HIDDEN VALLEY DR",
"city": "DOVER",
"state": "NH",
"postal_code": "038205216",
"telephone_number": "207-351-5339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUGAR",
"first_name": "CHELSEY",
"middle_name": "E",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-16",
"last_updated": "2022-03-29",
"certification_date": "2022-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NH",
"license": "1153",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3103419",
"state": "NH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHELSEY",
"last_name": "TEWELL",
"middle_name": "E",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.