CHELSEA CULHANE
NPI 1063175966
Nurse Practitioner in Middletown, RI

Active since October 18, 2021PECOS EnrolledAccepts Medicare Assignment
102 VALLEY RD, MIDDLETOWN, RI 02842(401) 239-1800(401) 239-1791 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 29, 2026, Oct 30, 2023, Dec 11, 2021 and 1 more (4 updates tracked since 2021).

About Chelsea Culhane NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHELSEA CULHANE (NPI 1063175966) is an individual nurse practitioner in Middletown, Rhode Island, licensed in Massachusetts (RN2302807) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1063175966
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCHELSEA CULHANE
Location Address102 VALLEY RDMiddletown, RI 02842-5237
Mailing Address102 Valley RdMiddletown, RI 02842-5237 · (401) 239-1800 · Fax (401) 239-1791
Fax(401) 239-1791
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 18, 2021
Last NPPES UpdateJanuary 29, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
✔ NPI 1063175966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MA · RN2302807
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
102 VALLEY RD, Middletown, RI 02842

Other Names 1

Former Name (1)Chelsea Mallows

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Chelsea Culhane is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547601940
PECOS Enrollment IDI20260512000524
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Chelsea Culhane reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

MOHS-Micrographic Surgery
102 VALLEY RD
Middletown, RI 02842
  • Reassigned Medicare billing, Rhode Island enrollment
  • 15 clinicians in this Medicare group
Dermatology
345 COURT ST, SUITE 201
Plymouth, MA 02360
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
964 services194 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
441 services415 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
258 services250 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
186 services180 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
109 services71 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
55 services50 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02842 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dermatology
102 VALLEY RD
MIDDLETOWN, RI 02842
Nurse Practitioner (Family)
102 VALLEY RD
MIDDLETOWN, RI 02842
Physician Assistant
102 VALLEY RD
MIDDLETOWN, RI 02842
Dermatology
102 VALLEY RD
MIDDLETOWN, RI 02842
Physician Assistant (Medical)
102 VALLEY RD
MIDDLETOWN, RI 02842
Physician Assistant
102 VALLEY RD
MIDDLETOWN, RI 02842
Dermatology
102 VALLEY RD
MIDDLETOWN, RI 02842
Physician Assistant
102 VALLEY RD
MIDDLETOWN, RI 02842

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chelsea Culhane's NPI number?

The NPI number for Chelsea Culhane is 1063175966. It was assigned to this individual provider in the NPPES registry on October 18, 2021. The provider is also known as Chelsea Mallows.

Where is Chelsea Culhane located?

Chelsea Culhane practices at 102 Valley Rd, Middletown, RI 02842. The listed phone number is (401) 239-1800.

What is Chelsea Culhane's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Chelsea Culhane enrolled in Medicare?

Yes. Chelsea Culhane is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Chelsea Culhane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chelsea Culhane reassigns Medicare benefits to 2 organizations: Aspire Dermatology LLC (Middletown, RI) and Plymouth Dermatology Associates, PC (Plymouth, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chelsea Culhane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chelsea Culhane accept?

Health plans from Anthem Blue Cross and Blue Shield list Chelsea Culhane as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Chelsea Culhane affiliated with any hospitals?

According to CMS data, Chelsea Culhane is affiliated with The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Chelsea Culhane was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.