MEDICARE: MRS. CHELSY ANN BOELKINS MSN, FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	1210724	TX
2	363LF0000X	Family Nurse Practitioner	4704333746	MI
3	363LF0000X	Family Nurse Practitioner	4052049	KY
4	363LF0000X	Family Nurse Practitioner	907978	MS
5	363L00000X	Nurse Practitioner	4704333746	MI

General Provider Information

NPI Number	:	1437868924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHELSY ANN BOELKINS MSN, FNP-C

Provider Business Mailing Address
First Line	:	6515 CENTER RD
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49686-1877
Country	:	US
Telephone Number	:	616-340-5008
Fax Number	:

Provider Business Practice Location Address
First Line	:	9065 34 RD
Second Line	:
City	:	CADILLAC
State	:	MI
Zip	:	49601
Country	:	US
Telephone Number	:	231-577-5017
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/23/2022
Last Update Date	:	01/21/2026

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