Individual provider Active NPI

Chelsea McLeland, CRNP

  • Family Nurse Practitioner
  • Independence, OH
National Provider Identifier
1881163996
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
023137 Issued in OH
Practice address
6100 Rockside Woods Blvd N Ste 425
Independence, OH 44131-2340
Phone
(216) 643-2780
Fax
(216) 524-0111
NPI assigned
Nov 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 023137 OH Primary

Addresses

Primary practice location

6100 Rockside Woods Blvd N Ste 425
Independence, OH 44131-2340

Mailing address

6100 Rockside Woods Blvd N Ste 425
Independence, OH 44131-2340
Phone (216) 643-2781

Other names 1

  • Chelsea Powell Former name

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
I20181212002735 OH Practitioner - Nurse Practitioner 6406191808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Dermatology, Laser and Vein ClinicGroup PAC ID 5799888251, 4 clinicians

Practice addresses (Care Compare)

30 Remick Blvd
Springboro, OH 45066-9168
Phone (937) 619-0222

Merit-based Incentive Payment System (MIPS)

Final score
75.26 of 100Reported as group
Quality
63.4
Improvement activities
40
Cost
66.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
023137OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Dermatology, Laser & Vein Clinic CurrentSince Oct 1, 2021 Accepting new patients

Locations

30 Remick Blvd
Springboro, OH 45066
Phone (937) 619-0222

3006 N County Road 25A
Ste 200
Troy, OH 45373
Phone (937) 335-2075

Organizations & group practices 1

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": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1881163996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 ROCKSIDE WOODS BLVD N STE 425",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312340",
            "telephone_number": "216-643-2781",
            "fax_number": "216-524-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 ROCKSIDE WOODS BLVD N STE 425",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312340",
            "telephone_number": "216-643-2780",
            "fax_number": "216-524-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLELAND",
        "first_name": "CHELSEA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "023137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "POWELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Independence, OH

Sources for this page

Verify at the official NPI Registry.