Individual provider Active NPI

Chelsea Lynn Hickey, AG-ACNP

  • Acute Care Nurse Practitioner
  • New Port Richey, FL
National Provider Identifier
1639810096
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN11018972 Issued in FL
Practice address
11735 Colony Lakes Blvd
New Port Richey, FL 34654-2043
Phone
(727) 237-3152
NPI assigned
Apr 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN11018972 FL Primary

Addresses

Primary practice location

11735 Colony Lakes Blvd
New Port Richey, FL 34654-2043

Mailing address

11735 Colony Lakes Blvd
New Port Richey, FL 34654-2043
Phone (727) 237-3152

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
I20220814000052 FL Practitioner - Nurse Practitioner 0941683601 Reassigns benefits to 1 organization

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
Gulfside Palliative Care, LLCGroup PAC ID 3678611837, 13 clinicians

Practice addresses (Care Compare)

6117 Trouble Creek Rd
New Port Richey, FL 34653-5240
Phone (813) 501-8201

Hospital & facility affiliations

  • Gulfside Hospice, Inc Hospice, Land O Lakes, FL, CCN 101532
  • HCA Florida Brandon Hospital Hospital, Brandon, FL, CCN 100243
  • HCA Florida Trinity Hospital Hospital, Trinity, FL, CCN 100191

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gulfside Palliative Care, LLC CurrentSince Jul 28, 2022 Accepting new patients
Gulfside Hospice, Inc. PastSince Jul 28, 2022 Accepting new patients

Locations

2061 Collier Pkwy
Land O Lakes, FL 34639
Phone (727) 845-5707

6630 Kentucky Ave
New Port Richey, FL 34653
Phone (727) 849-6939

6117 Trouble Creek Rd
New Prt Rchy, FL 34653
Phone (727) 845-5707

5760 Dean Dairy Rd
Zephyrhills, FL 33541
Phone (813) 377-1265

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 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": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1639810096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11735 COLONY LAKES BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346542043",
            "telephone_number": "727-237-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11735 COLONY LAKES BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346542043",
            "telephone_number": "727-237-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "CHELSEA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "AG-ACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11018972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.