Chelesia Burkes-Brown, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Dothan, AL
NPI 1669025854 · NPPES record last updated May 21, 2024
Key facts
- NPI
- 1669025854
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 202011104NP-PP (OR)
- Practice address
- 408 Healthwest Dr
Dothan, AL 36303 - Phone
- (334) 702-7222
- Fax
- (334) 446-4224
- NPI assigned
- Jul 17, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cow Creek Band of Umpqua Tribe of Indians
Practice addresses (Care Compare)
2589 NW Edenbower Blvd
Roseburg, OR 97471-6224
Phone (541) 672-8533
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (9 enrollments) in KS, MA, GA, TX, OR, VT, WA, IA, MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230216002478 | KS | Practitioner - Nurse Practitioner | 7517395387 | Reassigns benefits to 2 organizations |
| I20230823002480 | MA | Practitioner - Nurse Practitioner | 7517395387 | Reassigns benefits to 1 organization |
| I20231108000716 | GA | Practitioner - Nurse Practitioner | 7517395387 | |
| I20231128002003 | TX | Practitioner - Nurse Practitioner | 7517395387 | Reassigns benefits to 1 organization |
| I20231215001659 | OR | Practitioner - Nurse Practitioner | 7517395387 | Reassigns benefits to 1 organization |
| I20240513001646 | VT | Practitioner - Nurse Practitioner | 7517395387 | Reassigns benefits to 1 organization |
| I20240919002872 | WA | Practitioner - Nurse Practitioner | 7517395387 | Reassigns benefits to 1 organization |
| I20250524000049 | IA | Practitioner - Nurse Practitioner | 7517395387 | Reassigns benefits to 2 organizations |
| I20251019000178 | MD | Practitioner - Nurse Practitioner | 7517395387 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2376497 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
| 202011104NP-PP | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
| 101.013701 | VT | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP61103832 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Telecare, PLLC | Current |
Accepting new patients | |
| Cow Creek Band of Umpqua Tribe of Indians | Current |
Accepting new patients | |
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current |
Accepting new patients |
| Spring River Mental Health & Wellness, Inc. | Current |
Accepting new patients | |
| Spring River Mental Health and Wellness Inc | Current |
Accepting new patients | |
| Grow Healthcare Group of Kansas PA | Psychiatric/Mental Health | Current |
Accepting new patients |
| Cow Creek Band of Umpqua Tribe of Indians | Current |
Accepting new patients | |
| Forefront Telecare Inc | Current |
Accepting new patients | |
| Gifford Health Care, Inc | Current |
Accepting new patients | |
| Gifford Medical Center Inc. | Current |
Accepting new patients | |
| Gifford Health Care, Inc | Current |
Accepting new patients | |
| Gifford Medical Center Inc | Current |
Accepting new patients | |
| Carative Psychiatry PLLC | Psychiatric/Mental Health | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000
1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111
201 W Walnut St
Columbus, KS 66725
Phone (620) 429-1860
6610 SE Quakervale Rd
Riverton, KS 66770
Phone (620) 848-2300
801 E Douglas Ave
Fl 2ND
Wichita, KS 67202
Phone (316) 974-3161
100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389
10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338
1823 Vt Rte 107
Bethel, VT 05032
Phone (802) 234-2114
44 S Main St
Randolph, VT 05060
Phone (802) 728-4441
1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506
Interoperability endpoints
- chelsia.burkes-brown@cchwc.directbygreenway.com
- chelsia.burkesbrown.p1@direct.whitebirdclinic.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN2376497 | MA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 101.013701 | VT | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 81772 | KS | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61103832 | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 202011104NP-PP | OR | Yes |
Addresses
Primary practice location
408 Healthwest Dr
Dothan, AL 36303
Mailing address
8051 N Tamiami TRL Ste E6
Sarasota, FL 34243-2067
Phone (307) 289-2254
Other practice location 1
5270 Ezell Rd
Graceville, FL 32440-4289
Phone (850) 643-6618
Other practice location 2
769 N Wendover Rd
Charlotte, NC 28211-1118
Phone (704) 376-7180
Other providers in Dothan, AL
- Brooke Hays Bulman
- Christopher Blake Bulman
- Sharon J Burch
- Stevi Morgan Burger
- John H Burgess
- Judith Lea Burnett-Haisten
- Jessica Lynn Burrows
- Vera Marcella Franziska Burton
- Hannah Lee Bush
- Business Media Group LLC
All providers in Dothan, AL · Psychiatric/Mental Health Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2024. 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.