Chelsea Harrison
Individual provider Active NPI Family Medicine Physician · Pittsbon, PA
NPI 1588074579 · NPPES record last updated Aug 31, 2020
Key facts
- NPI
- 1588074579
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD459982 (PA)
- Practice address
- 42 N Main St
Pittsbon, PA 18640-3844 - Phone
- (570) 654-0880
- NPI assigned
- Apr 30, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 62
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Pennsylvania State University College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Geisinger Clinic
Practice addresses (Care Compare)
499 Wyoming Ave
Kingston, PA 18704-3602
Phone (570) 283-2161
Hospital & facility affiliations
- Aveanna Home Health
- Comprehensive Medical Home Care
- Associated Family Home Care, Inc.
- Geisinger Wyoming Valley Medical Center
- Geisinger-Community Medical Center
- Wilkes-Barre General Hospital
- Geisinger Medical Center
- Wesley Village
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170901000867 | PA | Practitioner - Family Practice | 0446572804 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD459982 | PA | MD | Family Medicine Physician |
| MT205847 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinc | Family Medicine | Current |
Accepting new patients |
| Geisinger Clinic | Current |
Accepting new patients | |
| Geisinger Clinic | Family Medicine | Current | Accepting new patients |
| Geisinger Clinic | Past | Accepting new patients |
Locations
240 Mall Blvd
Bloomsburg, PA 17815
Phone (570) 416-5435
114 Lt Michael Cleary Dr
Dallas, PA 18612
Phone (570) 255-1178
175 Northumberland St
Danville, PA 17821
Phone (570) 284-4575
100 N Academy Ave
Danville, PA 17822
499 Wyoming Ave
Kingston, PA 18704
Phone (570) 283-2161
128 E Main St
Nanticoke, PA 18634
Phone (570) 258-1304
42 N Main St
Pittston, PA 18640
Phone (570) 602-5610
57 N Main St
Pittston, PA 18640
Phone (570) 602-5620
35 S Mountain Blvd
Wilkes Barre, PA 18707
Phone (570) 474-5072
Interoperability endpoints
- charrison148293@direct.geisinger.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MT205847 | PA | |
| Family Medicine Physician | 207Q00000X | MD459982 | PA | Yes |
Addresses
Primary practice location
42 N Main St
Pittsbon, PA 18640-3844
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | charrison148293@direct.geisinger.edu | Direct |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.