Individual provider Active NPI

Chelsea May Jutila, RN

  • Certified Registered Nurse Anesthetist
  • Wichita Falls, TX
National Provider Identifier
1770059677
Registry record updated Feb 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP140152 Issued in TX
Practice address
1600 11TH St
Wichita Falls, TX 76301-4300
Phone
(907) 378-2887
NPI assigned
Oct 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP140152 TX Primary
Registered Nurse 163W00000X 839805 TX

Addresses

Primary practice location

1600 11TH St
Wichita Falls, TX 76301-4300

Mailing address

6206 Talon TRL
Wichita Falls, TX 76310-2878
Phone (907) 378-2887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190128001283 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517204670 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wichita Falls Anesthesia PLLCGroup PAC ID 7012259260, 34 clinicians
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians

Practice addresses (Care Compare)

1600 11TH St
Wichita Falls, TX 76301-4300
Phone (940) 764-7000

5420 Kell Blvd
Wichita Falls, TX 76310-1610
Phone (940) 692-5888

Hospital & facility affiliations

  • United Regional Health Care System Hospital, Wichita Falls, TX, CCN 450010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Registered Nurse

State licenses

LicenseStateTypeSpecialty
839805TXMDRegistered Nurse
AP140152TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Nocona Hospital District CurrentSince Aug 1, 2024 Accepting new patients
Jack County Hospital District Nurse Anesthetist, Certified Registered CurrentSince Feb 3, 2024 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 16, 2021 Accepting new patients
Jack County Hospital District CurrentSince Feb 3, 2024 Accepting new patients
Nocona Hospital District CurrentSince Aug 1, 2024 Accepting new patients
Wichita Falls Anesthesia PLLC CurrentSince May 1, 2019 Accepting new patients
Texoma Outpatient Surgery Center, Inc. Past Accepting new patients

Locations

3131 University Dr E
Bryan, TX 77802
Phone (979) 680-1888

215 Chisholm Trl
Jacksboro, TX 76458
Phone (940) 567-5528

90 Park Rd
Nocona, TX 76255
Phone (940) 825-3333

100 Park Rd
Nocona, TX 76255
Phone (940) 825-3235

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

1305 Wonder World Dr
Ste 105
San Marcos, TX 78666
Phone (512) 353-8161

5420 Kell Blvd
Wichita Falls, TX 76310
Phone (940) 692-5888

1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000

Organizations & group practices 8

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 1

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": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549152000000",
    "number": "1770059677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6206 TALON TRL",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763102878",
            "telephone_number": "907-378-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 11TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014300",
            "telephone_number": "907-378-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUTILA",
        "first_name": "CHELSEA",
        "middle_name": "MAY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2019-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP140152",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "839805",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.