Individual provider Active NPI

Chelsea Poff, APRN

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1598339541
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11011269 Issued in FL
Practice address
10475 Centurion Pkwy N Ste 201
Jacksonville, FL 32256-5004
Phone
(904) 223-3321
NPI assigned
May 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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 11011269 FL Primary

Addresses

Primary practice location

10475 Centurion Pkwy N Ste 201
Jacksonville, FL 32256-5004

Mailing address

10475 Centurion Pkwy N Ste 201
Jacksonville, FL 32256-5004
Phone (904) 223-3321

Other practice location 1

1699 S 14th St Ste 16
Fernandina Beach, FL 32034-1965
Phone (904) 223-3321

Other practice location 2

4266 Sunbeam Rd
Jacksonville, FL 32257-2425
Phone (904) 268-5200

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL chelsea.poff@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210520001656 FL Practitioner - Nurse Practitioner 6406255645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4266 Sunbeam Rd
Jacksonville, FL 32257-2425
Phone (904) 407-7700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.61 of 100Reported as group
Quality
77.5
Improvement activities
20
Cost
74.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11011269FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospice of Northeast Florida Inc CurrentSince Aug 16, 2021 Accepting new patients
Georgia Spine & Pain Centers Past Accepting new patients
Community Hospice of N.E. Florida Past Accepting new patients

Locations

4266 Sunbeam Rd
Jacksonville, FL 32257
Phone (904) 268-5200

Interoperability endpoints

  • Direct secure messaging: cpoff541536@direct.shands.ufl.edu

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 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": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1598339541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10475 CENTURION PKWY N STE 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322565004",
            "telephone_number": "904-223-3321",
            "fax_number": "904-223-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10475 CENTURION PKWY N STE 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322565004",
            "telephone_number": "904-223-3321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1699 S 14th St Ste 16",
            "address_purpose": "LOCATION",
            "city": "Fernandina Beach",
            "state": "FL",
            "postal_code": "320341965",
            "country_code": "US",
            "telephone_number": "904-223-3321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4266 Sunbeam Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322572425",
            "country_code": "US",
            "telephone_number": "904-268-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POFF",
        "first_name": "CHELSEA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11011269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "chelsea.poff@gmail.com",
            "affiliation": "N",
            "endpointDescription": "home",
            "address_1": "86106 Augustus Ave",
            "city": "Yulee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320973880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.