Individual provider Active NPI

Chelsea Bullock, CNM

  • Advanced Practice Midwife
  • Frederick, MD
National Provider Identifier
1861248098
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AC006526 Issued in MD
Practice address
77 Thomas Johnson Dr Ste H
Frederick, MD 21702-4893
Phone
(301) 414-2300
NPI assigned
Apr 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X AC006526 MD Primary

Addresses

Primary practice location

77 Thomas Johnson Dr Ste H
Frederick, MD 21702-4893

Mailing address

180 High Park LN Apt 1208
Silver Spring, MD 20910-4180
Phone (317) 408-1634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240621001787 MD Practitioner - Certified Nurse Midwife (CNM) 9436692159 Reassigns benefits to 2 organizations
I20240621001994 DC Practitioner - Certified Nurse Midwife (CNM) 9436692159 Reassigns benefits to 2 organizations
I20260514000236 VA Practitioner - Certified Nurse Midwife (CNM) 9436692159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simmonds Martin and Helmbrecht LLCGroup PAC ID 7012985492, 23 clinicians

Practice addresses (Care Compare)

26005 Ridge Rd
Suite 200
Damascus, MD 20872-1899
Phone (301) 414-2300

77 Thomas Johnson Dr
Suite H
Frederick, MD 21702-4893
Phone (301) 620-7144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Simmonds, Martin & Helmbrecht, LLC CurrentSince Jun 10, 2024 Accepting new patients
Maryland Physicians Edge LLC Advanced Practice Midwife CurrentSince Feb 1, 2026 Accepting new patients
Maryland Physicians Edge LLC CurrentSince Feb 1, 2026 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

26005 Ridge Rd
Ste 200
Damascus, MD 20872
Phone (301) 414-0120

77 Thomas Johnson Dr
Ste Hj
Frederick, MD 21702

77 Thomas Johnson Dr
Ste H
Frederick, MD 21702
Phone (301) 620-7144

77 Thomas Johnson Dr
Ste J
Frederick, MD 21702
Phone (301) 694-8999

19735 Germantown Rd
Ste 270
Germantown, MD 20874
Phone (301) 444-8350

11921 Rockville Pike
Ste 400
Rockville, MD 20852
Phone (240) 514-0140

Interoperability endpoints

  • Direct secure messaging: chelsea.bullock.1@17360.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1861248098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 HIGH PARK LN APT 1208",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104180",
            "telephone_number": "317-408-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 THOMAS JOHNSON DR STE H",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024893",
            "telephone_number": "301-414-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "CHELSEA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MD",
            "license": "AC006526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.