Individual provider Active NPI

Chelsea Tretter, PA

  • Physician Assistant
  • Lakewood, CO
National Provider Identifier
1174099592
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1687 Cole Blvd Ste 150
Lakewood, CO 80401-3322
Phone
(720) 712-0796
NPI assigned
Oct 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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 Primary

Addresses

Primary practice location

1687 Cole Blvd Ste 150
Lakewood, CO 80401-3322

Mailing address

1293 S Race St
Denver, CO 80210-1817
Phone (909) 615-3204

Other practice location 1

600 William St Apt 550
Oakland, CA 94612-5403
Phone (909) 615-3204

Other practice location 2

840 Irving St
San Francisco, CA 94122
Phone (415) 590-6140

Other names 1

  • Chelsea Cheeley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20210211002603 SC Practitioner - Physician Assistant 2961739149 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medcare Express - North Charleston LLC CurrentSince Jan 4, 2021 Accepting new patients

Locations

8740 Rivers Ave
North Charleston, SC 29406
Phone (843) 337-2406

8720 Dorchester Rd
North Charleston, SC 29420
Phone (843) 552-3629

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1174099592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1293 S RACE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802101817",
            "telephone_number": "909-615-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 COLE BLVD STE 150",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013322",
            "telephone_number": "720-712-0796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 William St Apt 550",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946125403",
            "country_code": "US",
            "telephone_number": "909-615-3204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "840 Irving St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "94122",
            "country_code": "US",
            "telephone_number": "415-590-6140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRETTER",
        "first_name": "CHELSEA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "CHEELEY",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.