Individual provider Active NPI

Chelsea Oheim, APRN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Austin, TX
National Provider Identifier
1477016731
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP141356 Issued in TX
Practice address
11111 Research Blvd Ste 300
Austin, TX 78759-5792
Phone
(512) 380-9200
Fax
(512) 380-9201
NPI assigned
Apr 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP141356 TX Primary

Addresses

Primary practice location

11111 Research Blvd Ste 300
Austin, TX 78759-5792

Mailing address

11111 Research Blvd Ste 300
Austin, TX 78759-5792
Phone (512) 380-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191022001094 TX Practitioner - Nurse Practitioner 8527390707 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP141356TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dell Children's Medical Group CurrentSince Aug 13, 2019 Accepting new patients
Dell Children's Medical Group Pediatrics CurrentSince Aug 13, 2019 Accepting new patients

Locations

1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800

11111 Research Blvd
Ste 300
Austin, TX 78759
Phone (844) 448-8124

1000 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 628-1800

Interoperability endpoints

  • Direct secure messaging: chelsea.oheim.1@8363.direct.athenahealth.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1477016731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 RESEARCH BLVD STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595792",
            "telephone_number": "512-380-9200",
            "fax_number": "512-380-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 RESEARCH BLVD STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595792",
            "telephone_number": "512-380-9200",
            "fax_number": "512-380-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHEIM",
        "first_name": "CHELSEA",
        "credential": "APRN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-12",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP141356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.