Chelsea Mansour, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704318851 Issued in MI

Practice address

39350 9 Mile Rd
Northville, MI 48167-9164

Phone

(734) 981-3968

NPI assigned

Feb 17, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Chelsea Demura Former name

Medicare fee-for-service enrollment

Enrolled in MI, FL, DC, TX, OH, VA, SC7 enrollments

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 7

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Minuteclinic Telehealth Services of Texas AssociationGroup PAC ID 8921437427, 47 clinicians

Minuteclinic Diagnostic of Michigan PCGroup PAC ID 9133123755, 40 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

77.37 of 100Reported as group

Quality

74

Improvement activities

40

Cost

72.24

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

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.

• Minuteclinic Telehealth Services of Texas Association

  • Family Nurse Practitioner
  • Round Rock, TX
  • NPI 1922564301

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Minuteclinic Diagnostic of Michigan PC

  • Family Nurse Practitioner
  • Northville, MI
  • NPI 1902848617
  Medicare reassignment Care Compare group
• Minuteclinic Diagnostic of Ohio LLC

  • Family Nurse Practitioner
  • Hilliard, OH
  • NPI 1699747303

  Multi-Specialty

  Medicare reassignment NPD
• Minuteclinic Diagnostic of Texas PLLC

  • Family Nurse Practitioner
  • Round Rock, TX
  • NPI 1609076330

  Multi-Specialty

  Medicare reassignment NPD
• Minuteclinic Diagnostic of Virginia LLC

  • Family Nurse Practitioner
  • Leesburg, VA
  • NPI 1417076829

  DC, Multi-Specialty

  Medicare reassignment NPD
• Minuteclinic Diagnostic South Carolina LLC

  • Family Nurse Practitioner
  • Simpsonville, SC
  • NPI 1447420815

  Multi-Specialty

  Medicare reassignment NPD
• Minuteclinic LLC

  • Family Nurse Practitioner
  • Rockville, MD
  • NPI 1134191836

  FL, Multi-Specialty

  Medicare reassignment NPD
• Minuteclinic Video Virtual Care, PLLC

  • Family Nurse Practitioner
  • Woonsocket, RI
  • NPI 1316402746

  SC

  Medicare reassignment
• Minuteclinic Diagnostic of Texas PLLC

  • Clinical Social Worker
  • Katy, TX
  • NPI 1740898188

  Single Specialty

  NPD

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1801489133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39350 9 MILE RD",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481679164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39350 9 MILE RD",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481679164",
            "telephone_number": "734-981-3968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45300 Cherry Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MI",
            "postal_code": "481875073",
            "country_code": "US",
            "telephone_number": "734-981-3968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSOUR",
        "first_name": "CHELSEA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2024-06-04",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704318851",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704318851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "DEMURA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Main Street Family Medicine P C
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• Ramdeep Kaur Mann, AGPCNP
• Madelyn Ann Mans, DIPL. O.M , L.AC
• Beatriz Manzor Mitrzyk, PHARMD
• Marcy M Murrell PLC
• Mark S. Hunter, D.M.D. P.L.C.
• Kelli D Marquette, PT
• Kathleen Susan Martin

• Family Nurse Practitioner in Northville, MI
• Providers in Northville, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.