Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chelsey Gallegos

Individual provider Physician Assistant · NPI 1265149165

Chelsey Gallegos is a Physician Assistant in Ponte Vedra Beach, Florida. Qualified in 2022, 4 years ago. Practices with Beaches Dermatology, PA, a 15-clinician group and accepts Medicare assignment. Licensed in Florida and Oregon.

Years since qualifying
4
Licensed in
FL, OR
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

103 Solana Rd
Ponte Vedra Beach, FL 32082-2231
Phone: (904) 273-2717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9115878 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA213471 (OR)

Record details

NPI number1265149165
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 31, 2022
Last updated in NPPESMay 29, 2026
Certification dateMay 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Beaches Dermatology, P.A. — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Ponte Vedra Beach