Chelsea L Jecmenek, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA08647 Issued in TX

Practice address

1253 N Von Minden St
La Grange, TX 78945-1262

Phone

(979) 968-8493

Fax

(979) 968-6388

NPI assigned

Aug 19, 2013

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 TX

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

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fast Track Urgent CareGroup PAC ID 5799005070, 41 clinicians

Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Comprehensive Rehab Consultants PLLC

  • Physical Medicine & Rehabilitation Physician
  • Middle River, MD
  • NPI 1710529771

  TX

  Medicare reassignment Care Compare group NPD
• Fast Track Urgent Care

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1497151237

  TX

  Medicare reassignment Care Compare group
• Fast Track Urgent Care - Bastrop

  • Urgent Care Clinic/Center
  • Bastrop, TX
  • NPI 1962193680

  Physician Assistant

  NPD
• St. David'S Carenow Urgent Care PLLC

  • Family Medicine Physician
  • Austin, TX
  • NPI 1851844104
  NPD (past)

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386115200000",
    "number": "1770916397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 N VON MINDEN ST",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789451262",
            "telephone_number": "979-968-8493",
            "fax_number": "979-968-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 N VON MINDEN ST",
            "city": "LA GRANGE",
            "state": "TX",
            "postal_code": "789451262",
            "telephone_number": "979-968-8493",
            "fax_number": "979-968-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JECMENEK",
        "first_name": "CHELSEA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2013-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James-Leach, Inc.
• James-Leach, Inc.
• James-Leach, Inc.
• James-Leach, Inc.
• James-Leach, Inc.
• Jennifer L Sharp-Saunders MD PA
• Russell Joseph Juno III, M.D.
• Shannon M Juno, M.D.
• Kaks Healthcare, LLC
• Susan Kalina, M.S. CCC/SLP

• All providers in La Grange, TX
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; 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.
• 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.