Chelsea Maryn Michielsen, DNP, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10000025 Issued in OR

Practice address

16083 SW Upper Boones Ferry Rd Ste 130
Tigard, OR 97224-7737

Phone

(503) 603-9087

Fax

(503) 603-9122

NPI assigned

Oct 11, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: chelsea.michielsen@897273817595908.direct.elationemr.com

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.

• Fornance Physician Services, Inc.

  • Family Medicine Physician
  • Norristown, PA
  • NPI 1013997386
  NPD (past)

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1740905827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19130 SW BLAMON ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970781277",
            "telephone_number": "971-221-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16083 SW UPPER BOONES FERRY RD STE 130",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247737",
            "telephone_number": "503-603-9087",
            "fax_number": "503-603-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHIELSEN",
        "first_name": "CHELSEA",
        "middle_name": "MARYN",
        "credential": "DNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10000025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebuka Kingsley Mgbadigha
• Michael Nguyen
• Marcia Michaels
• Viviana Isabella Michaud
• Michelle Stobbe
• Mid Valley Dental of Bridgeport
• Marisela Miguel-Gomez
• Emma Rose Miksch
• Shelby Bassett Milam, LPC
• Dock Deomus Miles IV

• Family Nurse Practitioner in Tigard, OR
• Providers in Tigard, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.