Individual provider Active NPI

Chelsey S McNabb Pender, MD

  • Internal Medicine Physician
  • Appleton, WI
National Provider Identifier
1932580784
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
71263 Issued in WI
Practice address
2500 E Capitol Dr Ste 1200
Appleton, WI 54911-8735
Phone
(920) 731-5811
Fax
(920) 358-1185
NPI assigned
Jun 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301107362 MI
Pediatrics Physician 208000000X 4301107362 MI
Hospitalist Physician 208M00000X 71263 WI
Internal Medicine Physician 207R00000X 71263 WI Primary

Addresses

Primary practice location

2500 E Capitol Dr Ste 1200
Appleton, WI 54911-8735

Mailing address

2500 E Capitol Dr Ste 1200
Appleton, WI 54911-8735
Phone (920) 731-5811

Other practice location 1

25 Michigan St NE
#2100
Grand Rapids, MI 49503-2515
Phone (616) 391-3777

Other practice location 2

130 2nd St
Neenah, WI 54956-2883
Phone (920) 729-2738

Other names 1

  • Chelsey S McNabb Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190923002447 WI Practitioner - Internal MedicinePractitioner - HospitalistPractitioner - Pediatric Medicine 6002129046 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Michigan State University College of Human Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thedacare, IncorporatedGroup PAC ID 1759294887, 654 clinicians

Practice addresses (Care Compare)

1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 735-7645

Hospital & facility affiliations

  • Ascension at Home Home health agency, Neenah, WI, CCN 527009
  • Thedacare at Home Home health agency, Appleton, WI, CCN 527010
  • Thedacare at Home Hospice, Appleton, WI, CCN 521504
  • Moments Hospice of Appleton Hospice, Appleton, WI, CCN 521606
  • Thedacare Regional Medical Center - Appleton Inc Hospital, Appleton, WI, CCN 520160
  • Thedacare Regional Med Ctr - Neenah Hospital, Neenah, WI, CCN 520045
  • Ascension NE Wisconsin - St Elizabeth Campus Hospital, Appleton, WI, CCN 520009
  • Thedacare Medical Center - Shawano Hospital, Shawano, WI, CCN 521346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
71263WIMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension NE Wisconsin, Inc CurrentSince Oct 14, 2019 Accepting new patients
Ascension NE Wisconsin, Inc CurrentSince Oct 14, 2019 Accepting new patients
Thedacare, Incorporated CurrentSince Sep 1, 2019 Accepting new patients
Thedacare Medical Center - Berlin, Inc. Past Accepting new patients
Thedacare Medical Center - Shawano, Inc. PastSince Jul 24, 2022 Accepting new patients

Locations

122 E College Ave
Appleton, WI 54911
Phone (920) 996-3264

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

2500 E Capitol Dr
Ste 1200
Appleton, WI 54911
Phone (920) 731-5811

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

2500 E Capitol Dr
Appleton, WI 54911
Phone (920) 738-4600

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

130 2nd St
Neenah, WI 54956
Phone (920) 729-2063

3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229

1405 Mill St
New London, WI 54961
Phone (920) 531-2000

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000

Interoperability endpoints

  • Direct secure messaging: cmcnabbpender278402@direct.thedacare.org

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 and National Provider Directory roles.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1932580784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E CAPITOL DR STE 1200",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118735",
            "telephone_number": "920-731-5811",
            "fax_number": "920-358-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E CAPITOL DR STE 1200",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118735",
            "telephone_number": "920-731-5811",
            "fax_number": "920-358-1185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Michigan St NE",
            "address_2": "#2100",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495032515",
            "country_code": "US",
            "telephone_number": "616-391-3777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 2nd St",
            "address_purpose": "LOCATION",
            "city": "Neenah",
            "state": "WI",
            "postal_code": "549562883",
            "country_code": "US",
            "telephone_number": "920-729-2738",
            "fax_number": "920-729-3021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNABB PENDER",
        "first_name": "CHELSEY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301107362",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301107362",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "71263",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "71263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEY",
            "last_name": "MCNABB",
            "middle_name": "S",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.