Individual provider Active NPI

Chelsea Hurley, PA-C

  • Physician Assistant
  • Erie, PA
National Provider Identifier
1780085670
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA057078 Issued in PA
Practice address
5035 Peach St
Erie, PA 16509-2013
Phone
(814) 480-7789
Fax
(814) 480-7790
NPI assigned
Sep 10, 2014
Last updated
Nov 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA057078 PA Primary

Addresses

Primary practice location

5035 Peach St
Erie, PA 16509-2013

Mailing address

5115 Centre Ave
Second Floor
Pittsburgh, PA 15232-1301

Other practice location 1

2500 N Detroit St
LaGrange, IN 46761-1158
Phone (260) 463-2133 ext. 120

Other practice location 2

5115 Centre Ave
Second Floor
Pittsburgh, PA 15232-1301
Phone (412) 864-7930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20141014001826 PA Practitioner - Physician Assistant 3678794781 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Sep 8, 2014 Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 8, 2014 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Northeast Internal Medicine Associates, PC Past Accepting new patients

Locations

5035 Peach St
Erie, PA 16509
Phone (814) 480-7789

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

200 Lothrop St
Ste 9055
Pittsburgh, PA 15213
Phone (412) 647-4620

5115 Centre Ave
Fl 2
Pittsburgh, PA 15232
Phone (412) 623-3395

5115 Centre Ave
Fl Second
Pittsburgh, PA 15232
Phone (412) 623-3398

Organizations & group practices 6

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": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1780085670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 CENTRE AVE",
            "address_2": "SECOND FLOOR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5035 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092013",
            "telephone_number": "814-480-7789",
            "fax_number": "814-480-7790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N Detroit St",
            "address_purpose": "LOCATION",
            "city": "LaGrange",
            "state": "IN",
            "postal_code": "467611158",
            "country_code": "US",
            "telephone_number": "260-463-2133 x120",
            "fax_number": "260-463-3775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5115 Centre Ave",
            "address_2": "Second Floor",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152321301",
            "country_code": "US",
            "telephone_number": "412-864-7930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURLEY",
        "first_name": "CHELSEA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA057078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.