CMS-1500 Box 24J / 33a • NPI
1184277675
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
302R00000X
Licensed & Credentialed Health Maintenance Organization
Box 32 Service Location & ZIP+4
1040 S. WINTER STREET, SUITE # 1022, ADRIAN, MI, 49221
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1184277675 (CHELSEA ELAINE DECK, MSW) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1184277675 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | CHELSEA ELAINE DECK, MSW |
| Plain-English Specialty | Licensed & Credentialed Health Maintenance Organization NUCC Code: 302R00000X (Health Maintenance Organization) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1040 S. WINTER STREET, SUITE # 1022, ADRIAN, MI, 49221 |
| Practice Telephone / Fax | Tel: (517) 263-8905 | Fax: (517) 263-7616 |
| Administrative Mailing Address | 120 SEWARD ST, HUDSON, MI, 49247-1250 |
| Enumeration & Last Sync | Enumerated: 2019-07-23 | CMS Record Updated: 2021-06-30 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (302R00000X)
What Does Taxonomy Code 302R00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 302R00000X translates to:
"Licensed & Credentialed Health Maintenance Organization"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (CHELSEA ELAINE DECK, MSW)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
302R00000X — Health Maintenance OrganizationPlain English: Licensed & Credentialed Health Maintenance Organization | State: MI | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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