Individual provider Active NPI

Chelsea Schwartz, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pewaukee, WI
National Provider Identifier
1942818588
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10714-33 Issued in WI
Practice address
1001 Cecelia Dr Ste 200
Pewaukee, WI 53072-2500
Phone
(262) 260-9000
Fax
(262) 260-9109
NPI assigned
Jul 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11007942 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10714-33 WI Primary

Addresses

Primary practice location

1001 Cecelia Dr Ste 200
Pewaukee, WI 53072-2500

Mailing address

7280 W Palmetto Park Rd Ste 105
Boca Raton, FL 33433-3401

Other practice location 1

7280 W Palmetto Park Rd Ste 105
Boca Raton, FL 33433-3401
Phone (561) 479-5970

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210226000079 WI Practitioner - Nurse Practitioner 9638584550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valdez and Soto LLCGroup PAC ID 1557628039, 3 clinicians

Practice addresses (Care Compare)

2351 Silvernail Rd
Pewaukee, WI 53072-5402
Phone (262) 260-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11007942FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valdez & Soto, LLC Psychiatric/Mental Health CurrentSince Feb 8, 2021 Accepting new patients
Wilson, Leigh & Associates LLC Psychiatric/Mental Health CurrentSince Jun 16, 2024 Accepting new patients

Locations

2351 Silvernail Rd
Pewaukee, WI 53072
Phone (262) 260-9000

1001 Cecelia Dr
Ste 200
Pewaukee, WI 53072
Phone (262) 260-9000

500 N 3rd St
Ste 2082
Wausau, WI 54403
Phone (262) 260-9000

Interoperability endpoints

  • Direct secure messaging: chelsea.schwartz.1@33533.direct.athenahealth.com

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": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1942818588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7280 W PALMETTO PARK RD STE 105",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CECELIA DR STE 200",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530722500",
            "telephone_number": "262-260-9000",
            "fax_number": "262-260-9109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7280 W Palmetto Park Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334333401",
            "country_code": "US",
            "telephone_number": "561-479-5970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "CHELSEA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11007942",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "10714-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pewaukee, WI

Sources for this page

Verify at the official NPI Registry.