Individual provider Active NPI

Chloe Olivia Seegmiller, PA-C

  • Physician Assistant
  • Idaho Falls, ID
National Provider Identifier
1063102713
Registry record updated Oct 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3500 Potomac Way Ste 100
Idaho Falls, ID 83404-4977
Phone
(208) 522-7666
Fax
(208) 524-2821
NPI assigned
May 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X ID Primary

Addresses

Primary practice location

3500 Potomac Way Ste 100
Idaho Falls, ID 83404-4977

Mailing address

3500 Potomac Way Ste 100
Idaho Falls, ID 83404-4977
Phone (208) 522-7666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241219000085 ID Practitioner - Physician Assistant 8224565916 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mountain View Hospital LLCGroup PAC ID 4486562774, 272 clinicians

Practice addresses (Care Compare)

2305 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 522-1764

2325 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 557-2700

2330 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 552-1234

2351 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 522-7310

2353 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 552-4823

2375 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 552-1234

2725 Channing Way
Idaho Falls, ID 83404-7510
Phone (208) 525-8448

3500 Potomac Way
Suite 100
Idaho Falls, ID 83404-4977
Phone (208) 522-7666

Hospital & facility affiliations

  • Mountain View Hospital Hospital, Idaho Falls, ID, CCN 130065
  • Eastern Idaho Regional Medical Center Hospital, Idaho Falls, ID, CCN 130018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Family Medicine Current Accepting new patients
Mountain View Hospital LLC CurrentSince Nov 1, 2024 Accepting new patients
Community Care West Side LLC Family Medicine CurrentSince Sep 5, 2025 Accepting new patients
Mountain View Hospital Physician Organization Past Accepting new patients
Machen Family Medicine, PC Family Medicine Past Accepting new patients

Locations

765 S Utah Ave
Idaho Falls, ID 83402
Phone (208) 525-2600

3500 Potomac Way
#100
Idaho Falls, ID 83404
Phone (208) 522-7666

2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686

2725 Channing Way
Idaho Falls, ID 83404
Phone (208) 525-8448

1595 Yellowstone Ave
Pocatello, ID 83201
Phone (208) 233-0032

167 E 1st S
Rigby, ID 83442
Phone (208) 745-8747

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAGBCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IAGBCA/Endpoint/IAGBCA

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1063102713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 POTOMAC WAY STE 100",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044977",
            "telephone_number": "208-522-7666",
            "fax_number": "208-524-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 POTOMAC WAY STE 100",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044977",
            "telephone_number": "208-522-7666",
            "fax_number": "208-524-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEEGMILLER",
        "first_name": "CHLOE",
        "middle_name": "OLIVIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.