Individual provider Active NPI

Chelsea Hoese, FNP-C

  • Primary Care Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1932593829
Registry record updated Jul 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
TAP7708 Issued in AZ
Practice address
1108 W Indian School Rd
Phoenix, AZ 85013-3107
Phone
(602) 773-5600
Fax
(602) 733-5601
NPI assigned
Mar 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X TAP7708 AZ Primary

Addresses

Primary practice location

1108 W Indian School Rd
Phoenix, AZ 85013-3107

Mailing address

1108 W Indian School Rd
Phoenix, AZ 85013-3107
Phone (602) 773-5600

Other identifiers 2

IdentifierTypeStateIssuer
Z177998OtherAZPTAN
054275MedicaidAZ

Other names 1

  • Chelsea Welsh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150729008283 AZ Practitioner - Nurse Practitioner 8820302219 Reassigns benefits to 1 organization
I20170317000414 TX Practitioner - Nurse Practitioner 8820302219 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TAP7708AZMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
San Carlos Apache Healthcare Corporation CurrentSince Feb 11, 2017 Accepting new patients
Whispering Palms Medical Inc CurrentSince Jun 12, 2015 Accepting new patients
San Carlos Apache Healthcare Corporation Current Accepting new patients

Locations

3552 W Baseline Rd
Ste 140
Laveen, AZ 85339
Phone (602) 635-6941

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

8618 N 35th Ave
Ste 3
Phoenix, AZ 85051
Phone (602) 249-0999

1108 W Indian School Rd
Ste B
Phoenix, AZ 85013
Phone (602) 773-5600

301 W McDowell Rd
Phoenix, AZ 85003
Phone (602) 257-8070

12020 S Warner Elliot Loop
Ste 101
Phoenix, AZ 85044
Phone (480) 496-9400

16928 W Bell Rd
Ste 701
Surprise, AZ 85374
Phone (623) 214-1106

14827 W Bell Rd
Ste 103
Surprise, AZ 85374
Phone (623) 544-3522

Organizations & group practices 3

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": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500854400000",
    "number": "1932593829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 W INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133107",
            "telephone_number": "602-773-5600",
            "fax_number": "602-773-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 W INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133107",
            "telephone_number": "602-773-5600",
            "fax_number": "602-733-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOESE",
        "first_name": "CHELSEA",
        "name_prefix": "Miss",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-27",
        "last_updated": "2017-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "TAP7708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z177998",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054275",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "WELSH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.