Individual provider Active NPI

Nicole K Chasnow, PAC

  • Medical Physician Assistant
  • Denver, CO
National Provider Identifier
1104242585
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA0003885 Issued in CO
Practice address
4700 Hale Pkwy Ste 360
Denver, CO 80220-4041
Phone
(303) 321-1333
Fax
(303) 321-0620
NPI assigned
Mar 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA0003885 CO Primary

Addresses

Primary practice location

4700 Hale Pkwy Ste 360
Denver, CO 80220-4041

Mailing address

1601 E 19TH Ave Ste 6250
Denver, CO 80218-1291
Phone (303) 762-3472

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address NICOLE.CHASNOW@hca3.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20171208002134 CO Practitioner - Physician Assistant 0345507828 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthone Clinic Services Orthopedic Specialists LLCGroup PAC ID 5799972725, 81 clinicians

Practice addresses (Care Compare)

4567 E 9TH Ave
Denver, CO 80220-3908
Phone (303) 320-2121

4700 Hale Pkwy
Suite 360
Denver, CO 80220-4041
Phone (720) 754-4410

701 E Hampden Ave
515 Mountain Orthopedic Trauma Surgeons at
Englewood, CO 80113-2736
Phone (303) 209-2503

Hospital & facility affiliations

  • Citizens Medical Center Hospital, Colby, KS, CCN 171362
  • HCA Healthone Rose Hospital, Denver, CO, CCN 060032

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA0003885COMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: nicole.chasnow@hca3.eclinicaldirectplus.com

Organizations & group practices 3

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": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1104242585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE STE 6250",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181291",
            "telephone_number": "303-762-3472",
            "fax_number": "303-861-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 HALE PKWY STE 360",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204041",
            "telephone_number": "303-321-1333",
            "fax_number": "303-321-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASNOW",
        "first_name": "NICOLE",
        "middle_name": "K",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-10",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA0003885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NICOLE.CHASNOW@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1601 E 19th Ave Ste 6250",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802181291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.