Individual provider Active NPI

Chelsea Small, APRN

  • Family Nurse Practitioner
  • Naples, FL
National Provider Identifier
1770185746
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11010325 Issued in FL
Practice address
7273 Vanderbilt Beach Rd Ste 19
Naples, FL 34119-1478
Phone
(317) 900-1633
NPI assigned
Nov 13, 2020
Last updated
Sep 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11010325 FL Primary

Addresses

Primary practice location

7273 Vanderbilt Beach Rd Ste 19
Naples, FL 34119-1478

Mailing address

8831 Immokalee Rd
Naples, FL 34120-3914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210413000317 FL Practitioner - Nurse Practitioner 6002224045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Physicians IncGroup PAC ID 3476885575, 6 clinicians

Practice addresses (Care Compare)

811 Del Prado Blvd S
Cape Coral, FL 33990-2666
Phone (239) 360-2634

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11010325FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Physicians Inc CurrentSince Feb 17, 2025 Accepting new patients

Locations

811 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 360-2634

811 Del Prado Blvd S
Ste B
Cape Coral, FL 33990
Phone (239) 360-2634

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1770185746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8831 IMMOKALEE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341203914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7273 VANDERBILT BEACH RD STE 19",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341191478",
            "telephone_number": "317-900-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "CHELSEA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11010325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.