Individual provider Active NPI

Chet D Stelly, NP

  • Nurse Practitioner
  • Youngsville, LA
National Provider Identifier
1881926228
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP05991 Issued in LA
Practice address
4401 Chemin Metaire Pkwy
Youngsville, LA 70592-6684
Phone
(337) 856-7500
Fax
(337) 856-7502
NPI assigned
Feb 10, 2010
Last updated
Jun 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP05991 LA Primary

Addresses

Primary practice location

4401 Chemin Metaire Pkwy
Youngsville, LA 70592-6684

Mailing address

4401 Chemin Metaire Pkwy
Youngsville, LA 70592-6684
Phone (337) 856-7500

Other identifiers 1

IdentifierTypeStateIssuer
AP05991OtherLALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20100603000549 LA Practitioner - Nurse Practitioner 0042346777 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medxcel Occupational MedicineGroup PAC ID 2567508872, 2 clinicians

Practice addresses (Care Compare)

121 Tivoli St
Abbeville, LA 70510-5150

4401 Chemin Metaire Pkwy
Youngsville, LA 70592-6684
Phone (337) 856-7500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP05991LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medxcel Occupational Medicine CurrentSince Nov 1, 2011 Accepting new patients
Claude Meeks Medical Group LLC CurrentSince Feb 7, 2011 Accepting new patients
Claude Meeks Medical Group LLC CurrentSince Feb 7, 2011 Accepting new patients
Louisiana Emergency Physicians, LLC Past Accepting new patients
Sterling Emergency Medical Services, a Professional Corporation Nurse Practitioner Past Accepting new patients

Locations

121 Tivoli St
Abbeville, LA 70510
Phone (337) 652-9530

2615 North Dr
Abbeville, LA 70510
Phone (337) 893-1506

106 Heritage
Broussard, LA 70518
Phone (337) 456-4845

4401 Chemin Metaire Pkwy
Youngsville, LA 70592
Phone (337) 856-7500

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, 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": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1881926228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 CHEMIN METAIRE PKWY",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705926684",
            "telephone_number": "337-856-7500",
            "fax_number": "337-856-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 CHEMIN METAIRE PKWY",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705926684",
            "telephone_number": "337-856-7500",
            "fax_number": "337-856-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLY",
        "first_name": "CHET",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-10",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP05991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AP05991",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngsville, LA

Sources for this page

Verify at the official NPI Registry.