Individual provider Active NPI

Chelsey D Lupher

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1598218661
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
019511 Issued in OH
Practice address
727 Worthington Woods Blvd
Ste 204
Columbus, OH 43085-5754
Phone
(740) 624-4423
NPI assigned
Jul 25, 2016
Last updated
Oct 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 019511 OH Primary

Addresses

Primary practice location

727 Worthington Woods Blvd
Ste 204
Columbus, OH 43085-5754

Mailing address

727 Worthington Woods Blvd
Ste 204
Columbus, OH 43085-5754
Phone (740) 624-4423

Other identifiers 1

IdentifierTypeStateIssuer
2016014053MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20171020001705 OH Practitioner - Nurse Practitioner 5496021313 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019511OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dublin Springs Physician Group, LLC Psychiatric/Mental Health CurrentSince Sep 11, 2018 Accepting new patients
Sun Behavioral Columbus, LLC Past Accepting new patients

Locations

2085 Citygate Dr
Columbus, OH 43219
Phone (614) 300-9100

7625 Hospital Dr
Dublin, OH 43016
Phone (614) 414-2277

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1598218661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 WORTHINGTON WOODS BLVD",
            "address_2": "STE 204",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "430855754",
            "telephone_number": "740-624-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 WORTHINGTON WOODS BLVD",
            "address_2": "STE 204",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "430855754",
            "telephone_number": "740-624-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPHER",
        "first_name": "CHELSEY",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-25",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "019511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2016014053",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.