Individual provider Active NPI

Chelsea Polleys, CNP

  • Acute Care Nurse Practitioner
  • Montgomery, OH
National Provider Identifier
1871916056
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN.CNP.15669 Issued in OH
Practice address
10506 Montgomery Rd Ste 301a
Montgomery, OH 45242-4400
Phone
(513) 246-2400
Fax
(513) 246-4047
NPI assigned
Jan 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 375310 OH
Acute Care Nurse Practitioner 363LA2100X COA.15669-NP OH
Acute Care Nurse Practitioner 363LA2100X APRN.CNP.15669 OH Primary

Addresses

Primary practice location

10506 Montgomery Rd Ste 301a
Montgomery, OH 45242-4400

Mailing address

10506 Montgomery Rd Ste 301a
Montgomery, OH 45242-4400
Phone (513) 246-2400

Other practice location 1

3301 Mercy Health Blvd Ste 125
Cincinnati, OH 45211-1106
Phone (513) 215-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20140318001637 OH Practitioner - Nurse Practitioner 0648401588 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Practice addresses (Care Compare)

10506 A Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 984-2775

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
375310OHMDAcute Care Nurse Practitioner
COA.15669-NPOHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth H LLC CurrentSince Jan 2, 2024 Accepting new patients
Premier Health Specialists Inc CurrentSince Mar 21, 2016 Accepting new patients
Premier Health Specialists Inc CurrentSince Mar 21, 2016 Accepting new patients
Trihealth Physician Institute Past Accepting new patients

Locations

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

740 W Galbraith Rd
Ste 140
Cincinnati, OH 45231

1530 Needmore Rd
Ste 300
Dayton, OH 45414
Phone (937) 208-6745

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

10506 Montgomery Rd
Ste 301A
Montgomery, OH 45242

10506 Montgomery Rd
Ste 301
Montgomery, OH 45242

10506B Montgomery Rd
Montgomery, OH 45242
Phone (513) 346-5170

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

Interoperability endpoints

  • Direct secure messaging: cpolleys403031@direct.trihealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1871916056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10506 MONTGOMERY RD STE 301A",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452424400",
            "telephone_number": "513-246-2400",
            "fax_number": "513-246-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10506 MONTGOMERY RD STE 301A",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452424400",
            "telephone_number": "513-246-2400",
            "fax_number": "513-246-4047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3301 Mercy Health Blvd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452111106",
            "country_code": "US",
            "telephone_number": "513-215-9200",
            "fax_number": "513-215-9259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLEYS",
        "first_name": "CHELSEA",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-24",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "375310",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "COA.15669-NP",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.15669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, OH

Sources for this page

Verify at the official NPI Registry.