Individual provider Active NPI

Chelsea R Denue, P.A.

  • Physician Assistant
  • Depew, NY
National Provider Identifier
1508179045
Registry record updated Jul 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
014114 Issued in NY
Practice address
4711 Transit Rd
Suite 1
Depew, NY 14043-4888
Phone
(716) 668-5331
Fax
(716) 668-5370
NPI assigned
Jul 26, 2010
Last updated
Jul 20, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 014114 NY Primary

Addresses

Primary practice location

4711 Transit Rd
Suite 1
Depew, NY 14043-4888

Mailing address

4711 Transit Rd
Suite 1
Depew, NY 14043-4888
Phone (716) 668-5331

Other identifiers 1

IdentifierTypeStateIssuer
03252760MedicaidNY

Other names 1

  • Chelsea R Denn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20101101001542 NY Practitioner - Physician Assistant 3971797143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orchard Park Family Practice, PCGroup PAC ID 7517937261, 14 clinicians

Practice addresses (Care Compare)

3670 S Benzing Rd
Suite a
Orchard Park, NY 14127-1741
Phone (716) 662-5357

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
014114NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Forestream Pediatrics, LLP Past Accepting new patients
FDR Medical Services P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: chelseadenue@opfp.medentdirect.com

Organizations & group practices 3

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": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405814400000",
    "number": "1508179045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 TRANSIT RD",
            "address_2": "SUITE 1",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434888",
            "telephone_number": "716-668-5331",
            "fax_number": "716-668-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 TRANSIT RD",
            "address_2": "SUITE 1",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434888",
            "telephone_number": "716-668-5331",
            "fax_number": "716-668-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENUE",
        "first_name": "CHELSEA",
        "middle_name": "R",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2014-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "014114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03252760",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "DENN",
            "middle_name": "R",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Depew, NY

Sources for this page

Verify at the official NPI Registry.