Chela Marie Hinesley, PAC RD
Individual provider Active NPI Physician Assistant · Merced, CA
NPI 1851473623 · NPPES record last updated Dec 10, 2020
Key facts
- NPI
- 1851473623
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 13555 (CA)
- Practice address
- 535 W 25TH St
Merced, CA 95340-2801 - Phone
- (209) 722-9066
- Fax
- (209) 383-1522
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070206000359 | CA | Practitioner - Physician Assistant | 8628070521 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13555 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merced Faculty Associates Medical Group Incorporated | Current |
Accepting new patients | |
| Merced Faculty Associates Medical Group, Incorporated | Current |
Accepting new patients |
Locations
535 W 25th St
Merced, CA 95340
Phone (209) 722-9066
Interoperability endpoints
- https://api.platform.athenahealth.com/3012/brand/1/csg/1/fhir/r4
- chela.marie.hinesley.1@3012.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 13555 | CA | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | chela.marie.hinesley.1@3012.direct.athenahealth.com | Direct |
Other providers in Merced, CA
- Arthur Lee Hill
- Jeffrey Curtis Hill
- Jeremy Adam Hill
- Renee Elaine Hill
- Heather Hillyer
- Mary Alice Hintenach
- Thao Ho
- Aurora Hobart
- Jennifer Hobbs
- Alan Warren Hoffman
All providers in Merced, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.