Active NPI
Chelsey M Goodbrod, PA-C
- Physician Assistant
- Hanover, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- OA003411
- Practice address
- 310 Stock St Ste 3
Hanover, PA 17331-2276 - Phone
- (717) 316-6927
- NPI assigned
- Sep 7, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA056841 | PA | |
| Physician Assistant | 363A00000X | C0004545 | MD | |
| Medical Physician Assistant | 363AM0700X | MA056841 | PA | |
| Physician Assistant | 363A00000X | OA003411 | PA | Primary |
Addresses
Primary practice location
310 Stock St Ste 3
Hanover, PA 17331-2276
Mailing address
310 Stock St Ste 3
Hanover, PA 17331-2276
Phone (717) 316-6927
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cgoodbrod86045@phsdirect.pinnaclehealth.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100
2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363
2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100
2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143
300 Highland Ave
Hanover, PA 17331-2297
Phone (717) 316-3711
Hospital & facility affiliations
- Upmc Hanover
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.08 of 100
- Quality
- 76.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.12
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OA003411 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Regional Physicians | Physician Assistant | Current | Accepting new patients |
| Pinnacle Health Regional Physicians | Current | Accepting new patients | |
| Medstar Good Samaritan Physicians LLC | Past | Accepting new patients | |
| Pinnacle Health Medical Services | Past | Accepting new patients |
Locations
210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300
1404 Baltimore St
Ste 4
Hanover, PA 17331
Phone (717) 637-0470
310 Stock St
Ste 3
Hanover, PA 17331
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
16324 Mount Airy Rd
Shrewsbury, PA 17361
Phone (717) 227-3800
1703 Innovation Dr
Ste 4120
York, PA 17408
Phone (717) 632-9263
Interoperability endpoints
- cgoodbrod288848@upmc.direct-ci.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
-
- Internal Medicine Physician
- Harrisburg, PA
- NPI 1013441690
Physician Assistant
-
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
-
- Cardiovascular Disease Physician
- Hanover, PA
- NPI 1790263879
-
- Urology Physician
- Carlisle, PA
- NPI 1376063511
-
- General Practice Physician
- Baltimore, MD
- NPI 1679996078
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hanover, PA
- NPI 1730158981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609545600000",
"number": "1497036149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 STOCK ST STE 3",
"city": "HANOVER",
"state": "PA",
"postal_code": "173312276",
"telephone_number": "717-316-6927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 STOCK ST STE 3",
"city": "HANOVER",
"state": "PA",
"postal_code": "173312276",
"telephone_number": "717-316-6927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODBROD",
"first_name": "CHELSEY",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-07",
"last_updated": "2021-01-02",
"certification_date": "2021-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA056841",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0004545",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA056841",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "OA003411",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cgoodbrod86045@phsdirect.pinnaclehealth.org",
"affiliation": "N",
"address_1": "310 Stock St Ste 3",
"city": "Hanover",
"state": "PA",
"country_code": "US",
"postal_code": "173312276",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hanover, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2021; 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.