Chelsey E Windham, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R879603 Issued in MS

Practice address

3920 Promenade Pkwy Ste a
Diberville, MS 39540-5368

Phone

(228) 456-0173

NPI assigned

Jan 13, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial Hospital at GulfportGroup PAC ID 2466524012, 473 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Deaconess Homecare- Region I Home health agency, Laurel, MS, CCN 257085
• Memorial Hospital at Gulfport Hospital, Gulfport, MS, CCN 250019
• Memorial Hospital Biloxi Hospital, Biloxi, MS, CCN 250007
• Singing River Gulfport Hospital, Gulfport, MS, CCN 250123

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cwindham@direct.mhg.com
• Direct secure messaging: chelsey.windham.1@4695.direct.athenahealth.com

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.

• Memorial Hospital at Gulfport

  • Urology Physician
  • Gulfport, MS
  • NPI 1093142598

  MS

  Medicare reassignment Care Compare group
• North Bay Family Medical Clinic, PA

  • Family Medicine Physician
  • Biloxi, MS
  • NPI 1417912486

  MS

  Medicare reassignment NPD
• Memorial Hospital at Gulfport

  • General Acute Care Hospital
  • Biloxi, MS
  • NPI 1215546635
  NPD
• Memorial Hospital at Gulfport

  • General Acute Care Hospital
  • Ocean Springs, MS
  • NPI 1447869854
  NPD
• Memorial Hospital at Gulfport

  • Emergency Medicine Physician
  • Gulfport, MS
  • NPI 1962780379
  NPD
• Memorial Hospital at Gulfport

  • General Acute Care Hospital
  • Gulfport, MS
  • NPI 1073606901
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Hospital at Gulfport

  • Family Medicine Physician
  • Gulfport, MS
  • NPI 1043542772

  Hospital

  Care Compare affiliation
• Memorial Hospital at Gulfport

  • Internal Medicine Physician
  • Gulfport, MS
  • NPI 1053643791

  Hospital

  Care Compare affiliation
• Memorial Hospital at Gulfport

  • Radiation Oncology Physician
  • Gulfport, MS
  • NPI 1063663490

  Hospital

  Care Compare affiliation
• Memorial Hospital at Gulfport

  • Internal Medicine Physician
  • Gulfport, MS
  • NPI 1063744704

  Hospital

  Care Compare affiliation
• Memorial Hospital at Gulfport

  • General Acute Care Hospital
  • Gulfport, MS
  • NPI 1073606901

  Hospital

  Care Compare affiliation
• Memorial Hospital at Gulfport

  • Urology Physician
  • Gulfport, MS
  • NPI 1093031494

  Hospital

  Care Compare affiliation
• Memorial Hospital at Gulfport

  • Urology Physician
  • Gulfport, MS
  • NPI 1093142598

  Hospital

  Care Compare affiliation
• Memorial Hospital at Gulfport

  • Family Medicine Physician
  • Wiggins, MS
  • NPI 1104477710

  Hospital

  Care Compare affiliation
• Memorial Hospital at Gulfport

  • Gastroenterology Physician
  • Gulfport, MS
  • NPI 1124311055

  Hospital

  Care Compare affiliation
• Memorial Hospital at Gulfport

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Gulfport, MS
  • NPI 1184956815

  Hospital

  Care Compare affiliation
• Memorial Hospital at Gulfport

  • Family Medicine Physician
  • Gulfport, MS
  • NPI 1205129137

  Hospital

  Care Compare affiliation
• Memorial Hospital at Gulfport

  • General Acute Care Hospital
  • Biloxi, MS
  • NPI 1215546635

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1477824902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 321359",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392321359",
            "telephone_number": "601-936-1395",
            "fax_number": "601-933-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 PROMENADE PKWY STE A",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395405368",
            "telephone_number": "228-456-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDHAM",
        "first_name": "CHELSEY",
        "middle_name": "E",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-13",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R879603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chelsey.windham.1@4695.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3920 Promenade Pkwy Ste A",
            "city": "Diberville",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395405368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shannon G Whitaker, RPH
• Leslie Michelle White, ED.S
• Kelcie Wilding
• Teri Ann Williamson, LPTA
• Aimee M Wilson, PH.D.
• Yvette M Champagne

• All providers in Diberville, MS
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.