Individual provider Active NPI

Mary Camille Chelf

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1821617077
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
123090 Issued in OK
Practice address
10210 E 91St St
Tulsa, OK 74133-5834
Phone
(918) 940-8500
NPI assigned
Apr 8, 2020
Last updated
Jul 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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 123090 OK
Family Nurse Practitioner 363LF0000X 123090 OK Primary

Addresses

Primary practice location

10210 E 91St St
Tulsa, OK 74133-5834

Mailing address

10210 E 91St St
Tulsa, OK 74133-5834
Phone (918) 940-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20200804000737 OK Practitioner - Nurse Practitioner 9234554528 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Specialists, Inc.Group PAC ID 0446251664, 21 clinicians
St. John Physicians, Inc.Group PAC ID 2567366495, 262 clinicians

Practice addresses (Care Compare)

10210 E 91St St
FL 2
Tulsa, OK 74133-5834
Phone (918) 940-8900

1705 E 19TH St
Tulsa, OK 74104-5410

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2071

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.43 of 100Reported as group
Quality
70.34
Promoting interoperability
84
Improvement activities
40
Cost
77.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
123090OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Medical Group Inc CurrentSince Jul 27, 2020 Accepting new patients
Gastroenterology Specialists, Inc. CurrentSince Jun 15, 2022 Accepting new patients

Locations

12455 E 100th St N
Ste 350
Owasso, OK 74055
Phone (918) 274-5510

10210 E 91st St
Tulsa, OK 74133
Phone (918) 940-8500

10210 E 91st St
Fl 2
Tulsa, OK 74133
Phone (918) 940-8500

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1821617077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10210 E 91ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335834",
            "telephone_number": "918-940-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 E 91ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335834",
            "telephone_number": "918-940-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHELF",
        "first_name": "MARY",
        "middle_name": "CAMILLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "123090",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "123090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.