Individual provider Active NPI

Chelsea McGovern, MSN, RN, AGNP-C

  • Primary Care Nurse Practitioner
  • Riverside, RI
National Provider Identifier
1851848154
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN01456 Issued in RI
Practice address
37 Reardon Ave
Riverside, RI 02915-1003
Phone
(469) 727-6675
NPI assigned
Sep 2, 2016
Last updated
Jul 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X APRN01456 RI Primary

Addresses

Primary practice location

37 Reardon Ave
Riverside, RI 02915-1003

Mailing address

37 Reardon Ave
Riverside, RI 02915-1003
Phone (312) 733-9730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20161025001478 RI Practitioner - Nurse Practitioner 3870871908 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN01456RIMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osh - Ri Physicians Group, PC CurrentSince Nov 11, 2019 Accepting new patients
Concertocare Medical Group of Rhode Island, PC CurrentSince Jun 10, 2024 Accepting new patients

Locations

30 W Monroe St
Ste 1200
Chicago, IL 60603
Phone (773) 609-1758

811 Main St
#7
Kansas City, MO 64105

10 Dorrance St
Ste 700
Providence, RI 02903
Phone (401) 200-8242

712 Broad St
Providence, RI 02907
Phone (401) 233-5060

300 Quaker Ln
Warwick, RI 02886
Phone (401) 233-5051

Organizations & group practices 2

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": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1851848154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 REARDON AVE",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029151003",
            "telephone_number": "312-733-9730",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 REARDON AVE",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029151003",
            "telephone_number": "469-727-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOVERN",
        "first_name": "CHELSEA",
        "credential": "MSN, RN, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-02",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "RI",
            "license": "APRN01456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, RI

Sources for this page

Verify at the official NPI Registry.