Individual provider Active NPI

Chelsi Cervetti Miller, FNP

  • Family Nurse Practitioner
  • Cedar Rapids, IA
National Provider Identifier
1912230426
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A115403 Issued in IA
Practice address
1815 1St Ave SE
Suite # 200
Cedar Rapids, IA 52402-5417
Phone
(319) 363-0474
NPI assigned
Sep 15, 2009
Last updated
Sep 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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 A115403 IA Primary

Addresses

Primary practice location

1815 1St Ave SE
Suite # 200
Cedar Rapids, IA 52402-5417

Mailing address

1815 1St Ave SE
Suite # 200
Cedar Rapids, IA 52402-5417
Phone (319) 363-0474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20160928002620 IA Practitioner - Nurse Practitioner 1850417627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Virginia School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Clinic of Iowa PCGroup PAC ID 9436143542, 10 clinicians

Practice addresses (Care Compare)

1815 1St Ave SE
200 Dermatology Clinic of Iowa
Cedar Rapids, IA 52402-5417
Phone (319) 363-0474

Merit-based Incentive Payment System (MIPS)

Final score
92.15 of 100Reported as group
Quality
94.02
Promoting interoperability
98
Improvement activities
40
Cost
81.47

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Clinic of Iowa PC CurrentSince Sep 1, 2016 Accepting new patients
Blue Ridge Foot and Ankle Clinic PLC PastSince Jun 1, 2015 Accepting new patients

Locations

1815 1st Ave SE
Ste 200
Cedar Rapids, IA 52402
Phone (319) 363-0474

Organizations & group practices 2

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": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1912230426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 1ST AVE SE",
            "address_2": "SUITE # 200",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025417",
            "telephone_number": "319-363-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 1ST AVE SE",
            "address_2": "SUITE # 200",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025417",
            "telephone_number": "319-363-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CHELSI",
        "middle_name": "CERVETTI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-15",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A115403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.