CHELSEA CALDWELL
NPI 1922470798
Nurse Practitioner - Family in Gallipolis, OH

Active since October 20, 2015PECOS EnrolledAccepts Medicare Assignment
81.42/100
CMS Quality Rating
90 JACKSON PIKE, GALLIPOLIS, OH 45631(740) 446-5000 Get Directions Write a Review

NPPES record last updated: February 16, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chelsea Caldwell NPPES

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

CHELSEA CALDWELL (NPI 1922470798) is an individual family provider in Gallipolis, Ohio, licensed in Ohio (.18258) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1922470798
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHELSEA CALDWELL
Location Address90 JACKSON PIKEGallipolis, OH 45631-1560
Mailing Address219 2nd AveGallipolis, OH 45631-1021 · (740) 645-0767
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 20, 2015
Last NPPES UpdateFebruary 16, 2016
NPI 1922470798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · .18258
90 JACKSON PIKE, Gallipolis, OH 45631

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Chelsea Caldwell 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 ID3678873809
PECOS Enrollment IDI20151119002259
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.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
153 services145 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
100 services93 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
80 services77 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45631 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.28
Promoting Interoperability100
Improvement Activities40
Cost57.96

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers13 claims13 services$6.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Otolaryngology
90 JACKSON PIKE
GALLIPOLIS, OH 45631
Physical Medicine & Rehabilitation
90 JACKSON PIKE
GALLIPOLIS, OH 45631
Nurse Practitioner (Family)
90 JACKSON PIKE
GALLIPOLIS, OH 45631
Physical Therapist
90 JACKSON PIKE
GALLIPOLIS, OH 45631
Nurse Practitioner
90 JACKSON PIKE
GALLIPOLIS, OH 45631
Radiology (Diagnostic Radiology)
90 JACKSON PIKE
GALLIPOLIS, OH 45631
Nurse Anesthetist, Certified Registered
90 JACKSON PIKE
GALLIPOLIS, OH 45631
Nurse Anesthetist, Certified Registered
90 JACKSON PIKE
GALLIPOLIS, OH 45631

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 Caldwell's NPI number?

The NPI number for Chelsea Caldwell is 1922470798. It was assigned to this individual provider in the NPPES registry on October 20, 2015.

Where is Chelsea Caldwell located?

Chelsea Caldwell practices at 90 Jackson Pike, Gallipolis, OH 45631. The listed phone number is (740) 446-5000.

What is Chelsea Caldwell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Chelsea Caldwell enrolled in Medicare?

Yes. Chelsea Caldwell 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.

What insurance does Chelsea Caldwell accept?

Health plans from CareSource and Molina Healthcare list Chelsea Caldwell 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.

When was this NPI record last updated?

The NPPES record for Chelsea Caldwell was last updated on February 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.