Individual provider Active NPI

Chelsea Davis, FNP

  • Family Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1679011704
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71006849A Issued in IN
Practice address
3801 Bellemeade Ave Ste 300
Evansville, IN 47714-0113
Phone
(812) 485-1400
NPI assigned
Feb 9, 2017
Last updated
Jun 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71006849A IN
Family Nurse Practitioner 363LF0000X 71006849A IN Primary

Addresses

Primary practice location

3801 Bellemeade Ave Ste 300
Evansville, IN 47714-0113

Mailing address

3801 Bellemeade Ave Ste 300
Evansville, IN 47714-0113

Other names 1

  • Chelsea Cornett Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chelsea.cornett.1@7598.direct.athenahealth.com St Mary's Medical Group, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20170809002167 IN Practitioner - Nurse Practitioner 4981975943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Medical Group LLCGroup PAC ID 1153493341, 230 clinicians

Practice addresses (Care Compare)

3700 Washington Ave
Evansville, IN 47714-0541

3801 Bellemeade Ave
Evansville, IN 47714-0113

801 Saint Marys Dr
505E
Evansville, IN 47714-0528
Phone (812) 491-3236

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary's Medical Group, LLC Nurse Practitioner CurrentSince Jul 3, 2017 Accepting new patients
St Mary's Medical Group, LLC CurrentSince Jul 3, 2017 Accepting new patients
St. Mary's Health, Inc Nurse Practitioner Past Accepting new patients

Locations

3801 Bellemeade Ave
Ste 300
Evansville, IN 47714
Phone (812) 471-0944

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331

Interoperability endpoints

  • Direct secure messaging: chelsea.cornett.1@7598.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1679011704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 BELLEMEADE AVE STE 300",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 BELLEMEADE AVE STE 300",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140113",
            "telephone_number": "812-485-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHELSEA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-09",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71006849A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71006849A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chelsea.cornett.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Mary's Medical Group, LLC",
            "address_1": "3801 Bellemeade Ave Ste 300",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477140113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "CORNETT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.