Individual provider Active NPI

Chelsea Liles, PA-C

  • Surgical Physician Assistant
  • Winter Park, FL
National Provider Identifier
1467963629
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9112179 Issued in FL
Practice address
255 N Lakemont Ave Ste 207
Winter Park, FL 32792-3219
Phone
(844) 407-4070
Fax
(407) 743-3050
NPI assigned
Oct 16, 2017
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9112179 FL
Surgical Physician Assistant 363AS0400X PA9112179 FL Primary

Addresses

Primary practice location

255 N Lakemont Ave Ste 207
Winter Park, FL 32792-3219

Mailing address

833 Chestnut St Ste 520
Philadelphia, PA 19107-4430
Phone (609) 677-7003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190530001701 FL Practitioner - Physician Assistant 3375803935 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians
Halifax Healthcare Systems IncGroup PAC ID 1254238090, 345 clinicians

Practice addresses (Care Compare)

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

303 N Clyde Morris Blvd
Daytona BCH, FL 32114-2709
Phone (386) 254-4000

400 Celebration PL
Celebration, FL 34747-4970

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-2570

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.03 of 100Reported as group
Quality
77.92
Promoting interoperability
99
Improvement activities
40
Cost
79.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Physician Assistant CurrentSince Oct 24, 2022 Accepting new patients
Hughston Clinic Southeast PC CurrentSince May 3, 2019 Accepting new patients
Adventist Health Systems/Sunbelt, Inc. Physician Assistant CurrentSince Jul 25, 2022 Accepting new patients
Halifax Healthcare Systems Inc CurrentSince Oct 31, 2025 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Oct 24, 2022 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Physician Assistant CurrentSince Jul 25, 2022 Accepting new patients
Hughston Clinic Southeast PC CurrentSince May 3, 2019 Accepting new patients
Rothman Orthopaedics of Florida,PLLC CurrentSince Aug 15, 2022 Accepting new patients
Heathrow Internal Medicine LLC Past Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

819 E Oak St
Ste A
Kissimmee, FL 34744
Phone (407) 476-0780

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1401 W Seminole Blvd
Fl Regi
Sanford, FL 32771
Phone (407) 302-2620

309 N Mangoustine Ave
Unit G
Sanford, FL 32771
Phone (321) 363-1754

255 N Lakemont Ave
Winter Park, FL 32792
Phone (407) 647-6070

255 N Lakemont Ave
Ste 207
Winter Park, FL 32792
Phone (407) 852-5333

833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191

5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 11

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 3

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": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1467963629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST STE 520",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074430",
            "telephone_number": "609-677-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N LAKEMONT AVE STE 207",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923219",
            "telephone_number": "844-407-4070",
            "fax_number": "407-743-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILES",
        "first_name": "CHELSEA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9112179",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9112179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.