Individual provider Active NPI

Chris K Polsley, PA

  • Physician Assistant
  • Montrose, CO
National Provider Identifier
1124344080
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2994 Issued in CO
Practice address
836 S Townsend Ave Ste C
Montrose, CO 81401-4360
Phone
(970) 249-2118
Fax
(970) 249-5029
NPI assigned
Apr 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 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 2994 CO Primary

Addresses

Primary practice location

836 S Townsend Ave Ste C
Montrose, CO 81401-4360

Mailing address

2303 S Townsend Ave Ste a
Montrose, CO 81401-5452
Phone (970) 249-7751

Other practice location 1

3330 S Rio Grande Ave Ste 300
Montrose, CO 81401-4850
Phone (970) 249-7751

Other identifiers 3

IdentifierTypeStateIssuer
P01705524OtherCORAILROAD MEDICARE FOR CEDAR POINT HEALTH
521319ZV3YOtherCOMEDICARE FOR CEDAR POINT HEALTH
90132360MedicaidCO

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
I20101026000351 CO Practitioner - Physician Assistant 2567655277 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedar Point Health LLCGroup PAC ID 0143119586, 45 clinicians

Practice addresses (Care Compare)

3330 S Rio Grande Ave
Montrose, CO 81401-4273
Phone (970) 249-7751

836 S Townsend Ave a
Cedar Point Health FP Montrose
Montrose, CO 81401-4360
Phone (970) 240-4606

836 S Townsend Ave C
Cedar Point Health UC Montrose
Montrose, CO 81401-4360
Phone (970) 249-2118

Hospital & facility affiliations

  • Montrose Regional Health Hospital, Montrose, CO, CCN 060006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2994COMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: cpolsley@montrosemedicine.gwaydirect.com

Organizations & group practices 2

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 1

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": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1124344080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 S TOWNSEND AVE STE A",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015452",
            "telephone_number": "970-249-7751",
            "fax_number": "970-249-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 S TOWNSEND AVE STE C",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014360",
            "telephone_number": "970-249-2118",
            "fax_number": "970-249-5029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3330 S Rio Grande Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "CO",
            "postal_code": "814014850",
            "country_code": "US",
            "telephone_number": "970-249-7751",
            "fax_number": "970-249-5029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLSLEY",
        "first_name": "CHRIS",
        "middle_name": "K",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-15",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "2994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE FOR CEDAR POINT HEALTH",
            "identifier": "P01705524",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FOR CEDAR POINT HEALTH",
            "identifier": "521319ZV3Y",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90132360",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, CO

Sources for this page

Verify at the official NPI Registry.