Individual ProviderChelsea CrillyNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address901 W 38th St Ste 200, Austin, TX 78705-1165(512) 421-4100(512) 695-0950PECOS EnrollmentBased on the most recent information from CMS, provider Chelsea Crilly is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1851865042Provider TypeIndividualFull NameCrilly, ChelseaTitleMrs.CredentialFNP-CGenderFemaleSole ProprietorNoEnumeration Date1/22/2019Last Updated1/22/2019Contact InformationPractice LocationPractice Address901 W 38th St Ste 200, Austin, TX 78705-1165Phone(512) 421-4100FaxUnlisted FaxMailing LocationMailing Address16103 Sandpoint Cv, Austin, TX 78717-4812Phone(512) 695-0950FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP140245Texas