Individual provider Active NPI

Chelsea Wailgum, PA-C

  • Medical Physician Assistant
  • Pittsfield, MA
National Provider Identifier
1568015014
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA7114 Issued in MA
Practice address
369 South St
Pittsfield, MA 01201-6803
Phone
(413) 443-4826
NPI assigned
Jul 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA7114 MA Primary

Addresses

Primary practice location

369 South St
Pittsfield, MA 01201-6803

Mailing address

369 South St
Pittsfield, MA 01201-6803
Phone (413) 443-4826

Other practice location 1

475 Franklin St Ste 206
Framingham, MA 01702-6236
Phone (508) 879-2712

Other practice location 2

425 Lake Ave N Ste 201
Worcester, MA 01605-2073
Phone (508) 757-1589

Other names 1

  • Chelsea Ann Merritt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20200323002232 MA Practitioner - Physician Assistant 8729416938 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Berkshire Allergy Care PCGroup PAC ID 3678865938, 5 clinicians

Practice addresses (Care Compare)

369 S St
Pittsfield, MA 01201-6803
Phone (413) 443-4826

Hospital & facility affiliations

  • Berkshire Medical Center Hospital, Pittsfield, MA, CCN 220046
  • Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA7114MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hilltown Community Health Centers, Inc. CurrentSince Apr 29, 2021 Accepting new patients
Hilltown Community Health Centers, Inc. CurrentSince Apr 29, 2021 Accepting new patients
Allergy & Asthma Treatment Specialists, P.C. PastSince Aug 25, 2008 Accepting new patients

Locations

58 Old North Rd
Worthington, MA 01098
Phone (413) 238-5511

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 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": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1568015014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016803",
            "telephone_number": "413-443-4826",
            "fax_number": "413-443-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 SOUTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012016803",
            "telephone_number": "413-443-4826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Franklin St Ste 206",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017026236",
            "country_code": "US",
            "telephone_number": "508-879-2712",
            "fax_number": "508-879-0537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 Lake Ave N Ste 201",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016052073",
            "country_code": "US",
            "telephone_number": "508-757-1589",
            "fax_number": "509-756-5633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAILGUM",
        "first_name": "CHELSEA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA7114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "MERRITT",
            "middle_name": "ANN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.