Individual provider Active NPI

Chelsea Gray, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Ulysses, KS
National Provider Identifier
1801411731
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
79742 Issued in KS
Practice address
119 N Wilson St
Ulysses, KS 67880-1949
Phone
(620) 952-2112
NPI assigned
Jun 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 13-114767-031 KS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 79742 KS Primary

Addresses

Primary practice location

119 N Wilson St
Ulysses, KS 67880-1949

Mailing address

119 N Wilson St
Ulysses, KS 67880-1949
Phone (620) 952-2112

Other names 1

  • Chelsea Twilleger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20210113000524 KS Practitioner - Nurse Practitioner 1153734173 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
Telehealth
Offers telehealth services
Group practices
Compass Behavioral HealthGroup PAC ID 1355323122, 29 clinicians

Practice addresses (Care Compare)

1111 E Spruce St
Garden City, KS 67846-5958
Phone (620) 276-7689

Hospital & facility affiliations

  • Bob Wilson Memorial Hospital Hospital, Ulysses, KS, CCN 171388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13-114767-031KSMDRegistered Nurse
79742KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Behavioral Health CurrentSince Dec 31, 2020 Accepting new patients
Compass Behavioral Health PastSince Jun 4, 2023 Accepting new patients

Locations

1111 E Spruce St
Garden City, KS 67846
Phone (620) 276-7689

404 N Baughman St
Ulysses, KS 67880
Phone (620) 356-3198

Organizations & group practices 2

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": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1801411731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 N WILSON ST",
            "city": "ULYSSES",
            "state": "KS",
            "postal_code": "678801949",
            "telephone_number": "620-952-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N WILSON ST",
            "city": "ULYSSES",
            "state": "KS",
            "postal_code": "678801949",
            "telephone_number": "620-952-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "CHELSEA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "13-114767-031",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "79742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "TWILLEGER",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ulysses, KS

Sources for this page

Verify at the official NPI Registry.