CHELSEA AGENT REAL (DNP, APRN, FNP-C) – Family Nurse Practitioner, NPI 1497280630
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,299 NURSE PRACTITIONER in OK
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Provider Addresses for CHELSEA AGENT REAL (DNP, APRN, FNP-C)
Mercy Clinic, 1015, East Choctaw Avenue, Sallisaw, Sequoyah County, Oklahoma, 74955, United States
SALLISAW, OK 749555011
Phone: (918) 774-0034
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $356.
Total Amount is formed as General ($356) + Research ($0) + Ownership ($0) = $356.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Novo Nordisk Inc ($76).
Total Amount
$356
General + Research + Ownership
Payments
19
Total payment records
General Amount
$356
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $76 |
| Exact Sciences Corporation | $55 |
| Amgen Inc. | $33 |
| ABBVIE INC. | $26 |
| ABIOMED | $25 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-03-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171016001281 | I | Nurse Practitioner | AR | TBD |
| I20180326001431 | I | Nurse Practitioner | OK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 938 | 399 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 700 | 334 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 388 | 254 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 235 | 235 | $0 |
| G0008 | Administration of influenza virus vaccine | 108 | 108 | $0 |
Insurance plans in this area (ZIP 74955)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | AR | |
| Family Practice | AR | |
| - | AR | |
| Family Practice | IL | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| - | OK | |
| G A S T R O E N T E R O L O G Y | AR | |
| Nurse Practitioner | AR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AR |
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