Active NPI
Chelsea Willis, DO
- Family Medicine Physician
- Canal Winchester, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- AP2282058A52
- Practice address
- 11925 Lithopolis Rd NW
Canal Winchester, OH 43110-9585 - Phone
- (614) 837-6363
- Fax
- (614) 837-0425
- NPI assigned
- Apr 26, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | AP2282058A52 | OH | Primary |
Addresses
Primary practice location
11925 Lithopolis Rd NW
Canal Winchester, OH 43110-9585
Mailing address
11925 Lithopolis Rd NW
Canal Winchester, OH 43110-9585
Phone (614) 837-6363
Other names 1
- Chelsea Anderson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Ohio University, College of Osteopathic Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3870 Townsfair Way
N 103 B
Columbus, OH 43219-6173
Phone (888) 663-6331
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP2282058A52 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Ohio Primary Care Physicians, Inc. | Current | Accepting new patients | |
| Ohio State University - Cap | Family Medicine | Current | Accepting new patients |
| Central Ohio Primary Care Physicians Inc | Current | Accepting new patients | |
| Central Ohio Primary Care Physicians, Inc. | Family Medicine | Current | Accepting new patients |
Locations
11925 Lithopolis Rd NW
Canal Wnchstr, OH 43110
Phone (614) 759-6626
4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665
3870 Townsfair Way
#103B
Columbus, OH 43219
Interoperability endpoints
- cwillis18753@copcp.medicity.net
Organizations & group practices 4
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.
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-
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-
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- NPI 1639279045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667952000000",
"number": "1942655154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11925 LITHOPOLIS RD NW",
"city": "CANAL WINCHESTER",
"state": "OH",
"postal_code": "431109585",
"telephone_number": "614-837-6363",
"fax_number": "614-837-0425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11925 LITHOPOLIS RD NW",
"city": "CANAL WINCHESTER",
"state": "OH",
"postal_code": "431109585",
"telephone_number": "614-837-6363",
"fax_number": "614-837-0425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIS",
"first_name": "CHELSEA",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-26",
"last_updated": "2022-11-09",
"certification_date": "2022-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "AP2282058A52",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHELSEA",
"last_name": "ANDERSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Canal Winchester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.