Individual provider Active NPI

Chela Marie Hinesley, PAC RD

  • Physician Assistant
  • Merced, CA
National Provider Identifier
1851473623
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
13555 Issued in CA
Practice address
535 W 25TH St
Merced, CA 95340-2801
Phone
(209) 722-9066
Fax
(209) 383-1522
NPI assigned
Oct 20, 2006
Last updated
Dec 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 13555 CA Primary

Addresses

Primary practice location

535 W 25TH St
Merced, CA 95340-2801

Mailing address

PO Box 3768
Merced, CA 95344-3768
Phone (209) 722-9066

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chela.marie.hinesley.1@3012.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20070206000359 CA Practitioner - Physician Assistant 8628070521 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13555CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Merced Faculty Associates Medical Group, Incorporated CurrentSince May 2, 2012 Accepting new patients
Merced Faculty Associates Medical Group Incorporated CurrentSince May 2, 2012 Accepting new patients

Locations

535 W 25th St
Merced, CA 95340
Phone (209) 722-9066

Interoperability endpoints

  • Direct secure messaging: chela.marie.hinesley.1@3012.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3012/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1851473623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3768",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953443768",
            "telephone_number": "209-722-9066",
            "fax_number": "209-383-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 W 25TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953402801",
            "telephone_number": "209-722-9066",
            "fax_number": "209-383-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINESLEY",
        "first_name": "CHELA",
        "middle_name": "MARIE",
        "credential": "PAC RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "13555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chela.marie.hinesley.1@3012.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "535 W 25th St",
            "city": "Merced",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953402801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.