Provider Demographics
NPI:1770191462
Name:FRISVOLD, CHELSEY (NP)
Entity type:Individual
Prefix:
First Name:CHELSEY
Middle Name:
Last Name:FRISVOLD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CHELSEY
Other - Middle Name:
Other - Last Name:MCALEER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2424 SPRINGER DR STE 102
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-3966
Mailing Address - Country:US
Mailing Address - Phone:405-216-3747
Mailing Address - Fax:405-339-0377
Practice Address - Street 1:1800 TEAGUE DR STE 219
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-2640
Practice Address - Country:US
Practice Address - Phone:903-357-5320
Practice Address - Fax:903-242-8750
Is Sole Proprietor?:No
Enumeration Date:2020-07-19
Last Update Date:2025-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1112541363L00000X, 363LF0000X
TX862769163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXUNKNOWNMedicaid