Chellie Hamilton, APRN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Waldron, AR
NPI 1972218964 · NPPES record last updated Jan 27, 2023
Key facts
- NPI
- 1972218964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 123034 (AR)
- Practice address
- 2074 Rice St
Waldron, AR 72958-7435 - Phone
- (479) 668-4700
- NPI assigned
- Jan 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4055 Valley View LN
Suite 700
Dallas, TX 75244-4910
4055 Valley View LN
Suite 700
Dallas, TX 75244-5045
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in AR, HI, MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230220001539 | AR | Practitioner - Nurse Practitioner | 4587036587 | Reassigns benefits to 1 organization |
| I20230509000670 | HI | Practitioner - Nurse Practitioner | 4587036587 | Reassigns benefits to 1 organization |
| I20260324003336 | MI | Practitioner - Nurse Practitioner | 4587036587 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123034 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Multi-Specialty | Current |
Accepting new patients |
| Signify Health Medical Associates, PLLC | Multi-Specialty | Current |
Accepting new patients |
Locations
500 Ala Moana Blvd
Ste 7400
Honolulu, HI 96813
Phone (617) 823-6490
13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424
Interoperability endpoints
- chamilton618950@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 123034 | AR | Yes |
Addresses
Primary practice location
2074 Rice St
Waldron, AR 72958-7435
Mailing address
2074 Rice St
Waldron, AR 72958-7435
Phone (479) 668-4700
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | mschellie@hotmail.com | Direct |
Other providers in Waldron, AR
- Ft Smith Hma Physician Management, LLC
- David A Gardner
- Amanda Gale Garretson
- Celeste Nacale Gish-Hampton
- Kendra Gonzalez
- Hand in Hand Behavior Therapy
- Harps Food Stores, Inc
- Health-Wise Pharmacy PLLC
- Hightower & Shepard Group Propco
- Hightower and Shepard Group LLC
All providers in Waldron, AR · Family Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.