Individual provider Active NPI

Chelsea Susan Przydzial, PA-C

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1891232344
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-06998 Issued in NC
Practice address
7780 Brier Creek Pkwy Ste 200
Raleigh, NC 27617
Phone
(919) 596-3400
NPI assigned
Jan 23, 2017
Last updated
Feb 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-06998 NC Primary

Addresses

Primary practice location

7780 Brier Creek Pkwy Ste 200
Raleigh, NC 27617

Mailing address

7780 Brier Creek Pkwy Ste 200
Raleigh, NC 27617-7869
Phone (919) 596-3400

Other practice location 1

7780 Brier Creek Pkwy Ste 200
Raleigh, NC 27617
Phone (919) 596-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20170410001943 NC Practitioner - Physician Assistant 2769768555 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-06998NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnest Primary Care, PLLC Current Accepting new patients
United Sleep Medicine Associates PA Past Accepting new patients
Raleigh Orthopaedic Clinic PA Past Accepting new patients
JKM Community Services, PLLC Past Accepting new patients
Well One Collective Past Accepting new patients

Organizations & group practices 6

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": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1891232344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7780 BRIER CREEK PKWY STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276177869",
            "telephone_number": "919-596-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7780 BRIER CREEK PKWY STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27617",
            "telephone_number": "919-596-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7780 Brier Creek Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "27617",
            "country_code": "US",
            "telephone_number": "919-596-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRZYDZIAL",
        "first_name": "CHELSEA",
        "middle_name": "SUSAN",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.