Chelsea Reese, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9111033 Issued in FL

Practice address

3485 Fannin St
Beaumont, TX 77701-3807

Phone

(409) 835-4790

NPI assigned

May 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, GA2 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 2

Specialty

Physician Assistant

Education

Massachusetts College of Osteopathy, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marietta Dermatology Associates PAGroup PAC ID 6507850120, 22 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Marietta Dermatology Associates PA

  • Dermatology Physician
  • Marietta, GA
  • NPI 1417007212
  Medicare reassignment Care Compare group
• Bay Dermatology and Cosmetic Surgery P a

  • Dermatology Physician
  • Port Richey, FL
  • NPI 1437148996
  Medicare reassignment
• Kathleen P Soe DO Dermatology PA

  • Procedural Dermatology Physician
  • Dunedin, FL
  • NPI 1538249743
  Medicare reassignment
• Suncoast Skin Solutions

  • Dermatology Physician
  • Lutz, FL
  • NPI 1487827416
  NPD (past)

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1831680933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 ASHLAND ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770082418",
            "telephone_number": "713-864-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 FANNIN ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013807",
            "telephone_number": "409-835-4790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13145 KING LAKES DRIVE STE 104",
            "address_purpose": "LOCATION",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335342805",
            "country_code": "US",
            "telephone_number": "855-353-7546",
            "fax_number": "813-773-4143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 MEDICAL WAY",
            "address_purpose": "LOCATION",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338702805",
            "country_code": "US",
            "telephone_number": "855-353-7546",
            "fax_number": "863-333-6520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 INDIAN ROCKS RD",
            "address_purpose": "LOCATION",
            "city": "BELLEAIR",
            "state": "FL",
            "postal_code": "337562805",
            "country_code": "US",
            "telephone_number": "855-353-7546",
            "fax_number": "727-315-0911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2120 Ashland St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770082418",
            "country_code": "US",
            "telephone_number": "713-864-2659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REESE",
        "first_name": "CHELSEA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2021-01-28",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Relationship Rescue

• Physician Assistant in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.