Individual provider Active NPI

Chelsea Mary Vieke, APRN

  • Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1740714674
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3011415 Issued in KY
Practice address
2211 Mayfair Dr Ste 101
Owensboro, KY 42301-4569
Phone
(270) 688-1352
Fax
(270) 683-4313
NPI assigned
Apr 18, 2017
Last updated
Oct 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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 3011415 KY Primary
Registered Nurse 163W00000X 1137585 KY

Addresses

Primary practice location

2211 Mayfair Dr Ste 101
Owensboro, KY 42301-4569

Mailing address

PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330

Other names 1

  • Chelsea Mary Roth Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address croth93031@direct.owensborohealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH, MO, FL, IL, TX, AR, TN, AZ, CO, IN, PA, OK, VA14 enrollments
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 14

Enrollment IDStateProvider typePAC IDDetails
I20170724003582 KY Practitioner - Nurse Practitioner 7214207273 Reassigns benefits to 1 organization
I20230811001898 OH Practitioner - Nurse Practitioner 7214207273 Reassigns benefits to 1 organization
I20230824001326 MO Practitioner - Nurse Practitioner 7214207273 Reassigns benefits to 1 organization
I20230828002503 FL Practitioner - Nurse Practitioner 7214207273 Reassigns benefits to 1 organization
I20230912001514 IL Practitioner - Nurse Practitioner 7214207273 Reassigns benefits to 1 organization
I20231031002741 TX Practitioner - Nurse Practitioner 7214207273 Reassigns benefits to 1 organization
I20231102003615 AR Practitioner - Nurse Practitioner 7214207273 Reassigns benefits to 1 organization
I20231120002558 TN Practitioner - Nurse Practitioner 7214207273 Reassigns benefits to 1 organization
I20240318003816 AZ Practitioner - Nurse Practitioner 7214207273 Reassigns benefits to 1 organization
I20240405001290 CO Practitioner - Nurse Practitioner 7214207273 Reassigns benefits to 1 organization
I20240417002680 IN Practitioner - Nurse Practitioner 7214207273 Reassigns benefits to 1 organization
I20240531002000 PA Practitioner - Nurse Practitioner 7214207273 Reassigns benefits to 1 organization
I20240531003353 OK Practitioner - Nurse Practitioner 7214207273 Reassigns benefits to 1 organization
I20240910002457 VA Practitioner - Nurse Practitioner 7214207273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Empowerme Medical Group PCGroup PAC ID 7214392059, shared by 23 NPIs, 13 clinicians

Practice addresses (Care Compare)

1335 Stranssner Dr
Brentwood, MO 63144-1872
Phone (877) 367-9772

1815 N Towanda Barnes Rd
Bloomington, IL 61705-2802
Phone (314) 673-6747

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1137585KYMDRegistered Nurse
3011415KYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Medical Group, PC CurrentSince May 16, 2024 Accepting new patients
Empowerme Medical Group, PC CurrentSince Jun 1, 2024 Accepting new patients
Empowerme Medical Group, PC CurrentSince Jul 3, 2023 Accepting new patients
Empowerme Medical Group, PC CurrentSince Sep 27, 2023 Accepting new patients
Empowerme Medical Group, PC CurrentSince Apr 4, 2024 Accepting new patients
Empowerme Medical Group, PC CurrentSince Jul 5, 2023 Accepting new patients
Empowerme Medical Group, PC CurrentSince Mar 24, 2024 Accepting new patients
Empowerme Medical Group, PC CurrentSince Jun 1, 2023 Accepting new patients
Empowerme Medical Group, PC CurrentSince Sep 24, 2023 Accepting new patients
Empowerme Medical Group, PC CurrentSince Mar 20, 2024 Accepting new patients
Empowerme Medical Group, PC CurrentSince Jul 3, 2023 Accepting new patients
Empowerme Medical Group, PC CurrentSince Jun 1, 2023 Accepting new patients
Empowerme Medical Group, PC CurrentSince Jul 3, 2023 Accepting new patients
Empowerme Medical Group, PC CurrentSince Feb 4, 2024 Accepting new patients
Empowerme Medical Group, PC CurrentSince Jul 19, 2023 Accepting new patients

Locations

6945 Carlisle Ct
Naples, FL 34109
Phone (239) 249-6877

490 Urbanna Dr
Freeburg, IL 62243
Phone (618) 539-9190

1941 W US Highway 40
Brazil, IN 47834
Phone (812) 420-2188

15201 Olive Blvd
Chesterfield, MO 63017
Phone (636) 532-1515

1538 N Old Castle Rd
Nixa, MO 65714
Phone (417) 724-8188

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

2803 24th Ave NW
Norman, OK 73069
Phone (405) 407-3592

2200 Springwood Rd
York, PA 17403
Phone (717) 356-2870

300 Celebration Cir
Franklin, TN 37067
Phone (615) 274-9107

860 Wolf Creek Trl
Abingdon, VA 24210
Phone (276) 628-1621

Interoperability endpoints

  • Direct secure messaging: chelsea.roth.p1@direct.empowerme.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1740714674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23229",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423043229",
            "telephone_number": "270-688-1330",
            "fax_number": "270-688-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 MAYFAIR DR STE 101",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423014569",
            "telephone_number": "270-688-1352",
            "fax_number": "270-683-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIEKE",
        "first_name": "CHELSEA",
        "middle_name": "MARY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3011415",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1137585",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "croth93031@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "2211 Mayfair Dr Ste 101",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423014569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "ROTH",
            "middle_name": "MARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.