Chelsea Agent Real, DNP, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

109534 Issued in OK

Practice address

1015 E Choctaw Ave
Sallisaw, OK 74955-5011

Phone

(918) 774-0034

NPI assigned

Apr 25, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in AR, OK2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mercy Clinic Fort Smith CommunitiesGroup PAC ID 3870668510, 361 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Professional Home Health Home health agency, Sallisaw, OK, CCN 377588
• Compassion Home Care, Inc. Home health agency, Stigler, OK, CCN 377740
• Elara Caring Xviii Home health agency, Sallisaw, OK, CCN 377713
• Premier Home Health Care, Inc Home health agency, Muldrow, OK, CCN 377706
• Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062
• Sequoyah County-City of Sallisaw Hospital Authorit Hospital, Sallisaw, OK, CCN 370112
• Baptist Health - Fort Smith Hospital, Fort Smith, AR, CCN 040055
• Northeastern Health System Hospital, Tahlequah, OK, CCN 370089

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: creal270989@directc.mercy.net

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.

• Mercy Clinic Fort Smith Communities

  • Multi-Specialty Clinic/Center
  • Fort Smith, AR
  • NPI 1902073620

  OK

  Medicare reassignment Care Compare group NPD
• Mercy Clinic Fort Smith Communities

  • Medical Specialty Clinic/Center
  • Fort Smith, AR
  • NPI 1023346202
  NPD
• Mercy Clinic Fort Smith Communities

  • Endocrinology, Diabetes & Metabolism Physician
  • Fort Smith, AR
  • NPI 1790258002
  NPD
• Sequoyah County City of Sallisaw Hospital Authority

  • Rural Acute Care Hospital
  • Sallisaw, OK
  • NPI 1972539567
  NPD (past)
• Mercy Hospital Fort Smith

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1568433480
  NPD (past)

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

• Compassion Home Care, Inc.

  • Home Health Agency
  • Stigler, OK
  • NPI 1891920211
  Care Compare affiliation
• Homecare Clinicians LLC

  • Home Health Agency
  • Sallisaw, OK
  • NPI 1679659270
  Care Compare affiliation
• Homecare Clinicians LLC

  • Home Health Agency
  • Stillwater, OK
  • NPI 1942440102
  Care Compare affiliation
• Mays Professional Home Helath of Sallisaw, LLC

  • Home Health Agency
  • Sallisaw, OK
  • NPI 1689099426
  Care Compare affiliation
• Northeastern Health System

  • General Acute Care Hospital
  • Tahlequah, OK
  • NPI 1003865999
  Care Compare affiliation
• Northeastern Health System

  • Rural Health Clinic/Center
  • Fort Gibson, OK
  • NPI 1013458652

  Hospital

  Care Compare affiliation
• Northeastern Health System

  • Rural Health Clinic/Center
  • Tahlequah, OK
  • NPI 1306387949

  Hospital

  Care Compare affiliation
• Northeastern Health System

  • Addiction (Substance Use Disorder) Counselor
  • Tahlequah, OK
  • NPI 1689338519

  Hospital

  Care Compare affiliation
• Premier Home Health Care, Inc.

  • Home Health Agency
  • Muldrow, OK
  • NPI 1780603134
  Care Compare affiliation
• Sequoyah County City of Sallisaw Hospital Authority

  • Rural Acute Care Hospital
  • Sallisaw, OK
  • NPI 1972539567
  Care Compare affiliation
• Baptist Health Regional Hospitals

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1710463146
  Care Compare affiliation
• Mercy Hospital Fort Smith

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1568433480
  Care Compare affiliation

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1497280630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 E CHOCTAW AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749555011",
            "telephone_number": "918-774-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 E CHOCTAW AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749555011",
            "telephone_number": "918-774-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAL",
        "first_name": "CHELSEA",
        "middle_name": "AGENT",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-25",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "109534",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R096514",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005342",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "109534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Beth Rader, OTR/L
• Stacey Lynn Ragsdale
• Albis Ramos
• Randi Kennedy Gray, D.D.S., PLLC
• Mary Carmen Randleman, M.ED., LPC
• Timothy Ryan Reason, COTA/L
• Molly Reed
• Holli Deanna Reherman
• Lindsey Erin Reid
• Mallori J Rice, OTR/L

• Family Nurse Practitioner in Sallisaw, OK
• Providers in Sallisaw, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.