CHELSEA DOUGLAS – Nurse Practitioner, NPI 1164979753

CHELSEA DOUGLAS is a healthcare provider. based in Hermitage, Tennessee. specializing in Nurse Practitioner. They hold a License No. APN0000021489 (TN). The NPI Number for CHELSEA DOUGLAS is 1164979753

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
CHELSEA DOUGLAS
NPI
1164979753
Phone
Not provided
Address
5565 FRIST BOULEVARD
Enumeration Date
1 September 2016
Last Update Date
1 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9314891100
Graduation Year
2016 (10 years ago)
PAC ID
1951680065
Group Practice PAC ID
2567691660
Professional Enrollment ID
I20161114000747
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for CHELSEA DOUGLAS

  • 5565, Frist Boulevard, Travis, Nashville, Davidson County, Tennessee, 37076, United States

    HERMITAGE, TN 37076

    Phone:

    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 4 Open Payments records for all available years, with a total value of $244.

Total Amount is formed as General ($244) + Research ($0) + Ownership ($0) = $244.

Last reported payment date: 2024-04-12 • Largest payer in this snapshot: Alexion Pharmaceuticals, Inc. ($215).

Total Amount

$244

General + Research + Ownership

Payments

4

Total payment records

General Amount

$244

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-11-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161114000747INurse PractitionerTNTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making7676$0
99285Emergency department visit with high level of medical decision making2323$0
99283Emergency department visit with low level of medical decision making1919$0
View full utilization report →

Insurance plans in this area (ZIP 37076)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567691660View full group profile

Reviews

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Frequently asked questions

What is the registry number for CHELSEA DOUGLAS?
The registry entry for CHELSEA DOUGLAS shows NPI 1164979753.
Does the public listing show CHELSEA DOUGLAS as active?
CHELSEA DOUGLAS's NPI record reflects an active status in NPPES.
What type of care does CHELSEA DOUGLAS provide?
CHELSEA DOUGLAS's profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to CHELSEA DOUGLAS?
The directory associates CHELSEA DOUGLAS with Hermitage, Tennessee. Check all listed addresses for suites or satellite offices.
Who maintains CHELSEA DOUGLAS's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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