Individual provider Active NPI

Chelsea Uphaus, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Richmond, IN
National Provider Identifier
1558027870
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71011855A Issued in IN
Practice address
1050 Reid Pkwy Ste 325
Richmond, IN 47374-1161
Phone
(765) 962-8551
Fax
(765) 962-2591
NPI assigned
Nov 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71011855A IN Primary

Addresses

Primary practice location

1050 Reid Pkwy Ste 325
Richmond, IN 47374-1161

Mailing address

1100 Reid Parkway
Medical Staff Services
Richmond, IN 47374-1026
Phone (765) 983-3127

Other names 1

  • Chelsea Ballinger Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cuphaus300892@ReidHealth.direct-ci.com Reid Physician Associates, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20211116002598 IN Practitioner - Nurse Practitioner 6002205861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians

Practice addresses (Care Compare)

1050 Reid Pkwy
Suite 325
Richmond, IN 47374-1161
Phone (765) 962-8551

Hospital & facility affiliations

  • Reid Health Hospital, Richmond, IN, CCN 150048
  • Wayne Hospital Hospital, Greenville, OH, CCN 361335

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71011855AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FC Indiana, LLC Nurse Practitioner CurrentSince Nov 10, 2021 Accepting new patients
Reid Physician Associates, Inc. Nurse Practitioner CurrentSince Jun 27, 2022 Accepting new patients
Reid Physician Associates, Inc CurrentSince Jun 27, 2022 Accepting new patients
FC Indiana, LLC CurrentSince Nov 10, 2021 Accepting new patients
Major Hospital Past Accepting new patients

Locations

2418 16th St
Bedford, IN 47421
Phone (812) 278-3154

1317 N State St
Greenfield, IN 46140
Phone (317) 967-2167

1050 Reid Pkwy
Ste 325
Richmond, IN 47374
Phone (765) 935-8905

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

Interoperability endpoints

  • Direct secure messaging: cuphaus300892@reidhealth.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1558027870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PARKWAY",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741026",
            "telephone_number": "765-983-3127",
            "fax_number": "765-983-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 REID PKWY STE 325",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741161",
            "telephone_number": "765-962-8551",
            "fax_number": "765-962-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPHAUS",
        "first_name": "CHELSEA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011855A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cuphaus300892@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "address_1": "1050 Reid Pkwy Ste 325",
            "city": "Richmond",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473741161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "BALLINGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.