Individual provider Active NPI

Chelsea Mae Riley, CNM

  • Advanced Practice Midwife
  • Oregon, OH
National Provider Identifier
1811449358
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN.CNM.019318 Issued in OH
Practice address
2751 Bay Park Dr
Suite 300
Oregon, OH 43616-4921
Phone
(419) 690-8882
NPI assigned
Nov 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704297244 MI
Registered Nurse 163W00000X RN.432578 OH
Midwife 176B00000X 4704297244 MI
Advanced Practice Midwife 367A00000X APRN.CNM.019318 OH Primary

Addresses

Primary practice location

2751 Bay Park Dr
Suite 300
Oregon, OH 43616-4921

Mailing address

2751 Bay Park Dr
Suite 300
Oregon, OH 43616-4921
Phone (419) 690-8882

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address criley63700@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170614002999 OH Practitioner - Certified Nurse Midwife (CNM) 1456629401 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Wayne State University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Professional Services LTDGroup PAC ID 1456531870, 40 clinicians

Practice addresses (Care Compare)

715 S Taft Ave
Fremont, OH 43420-3237
Phone (419) 333-6462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN.432578OHMDRegistered Nurse
4704297244MIMDMidwife
APRN.CNM.019318OHMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Mar 23, 2020 Accepting new patients
Memorial Professional Services LTD CurrentSince Jul 1, 2019 Accepting new patients
Promedica Central Physicians CurrentSince Mar 23, 2020 Accepting new patients
Bay Park Community Hospital CurrentSince May 2, 2017 Accepting new patients
Bay Park Community Hospital Past Accepting new patients

Locations

455 W 4th St
Ste 20
Fostoria, OH 44830

715 S Taft Ave
Fremont, OH 43420
Phone (419) 332-7321

1922 Glen Springs Dr
Fremont, OH 43420
Phone (419) 333-2798

5901 Monclova Rd
Maumee, OH 43537
Phone (419) 893-5911

2801 Bay Park Dr
Oregon, OH 43616
Phone (419) 690-7652

2751 Bay Park Dr
Ste 300
Oregon, OH 43616
Phone (419) 690-7596

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

1 Seagate
#800
Toledo, OH 43604
Phone (567) 585-1964

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964

Interoperability endpoints

  • Direct secure messaging: criley63700@direct.promedica.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1811449358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 BAY PARK DR",
            "address_2": "SUITE 300",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436164921",
            "telephone_number": "419-690-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 BAY PARK DR",
            "address_2": "SUITE 300",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436164921",
            "telephone_number": "419-690-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "CHELSEA",
        "middle_name": "MAE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-01",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704297244",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.432578",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MI",
            "license": "4704297244",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "APRN.CNM.019318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "criley63700@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oregon, OH

Sources for this page

Verify at the official NPI Registry.