Chelsey Blythe, PA-C
Individual provider Active NPI Physician Assistant · Elko, NV
NPI 1275947624 · NPPES record last updated Dec 14, 2023
Key facts
- NPI
- 1275947624
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA1982 (NV)
- Practice address
- 2102 Idaho St
Elko, NV 89801 - Phone
- (801) 682-5565
- Fax
- (775) 360-3602
- NPI assigned
- Jun 13, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Health Allied Medical Providers - Pappas PLLC
Practice addresses (Care Compare)
2102 Idaho St
Elko, NV 89801-2625
Phone (775) 389-5777
Hospital & facility affiliations
- Northeastern Nevada Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180713002823 | NV | Practitioner - Physician Assistant | 3072890912 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Communityhealth Management, LLC | Past | Accepting new patients |
Interoperability endpoints
- chelsey.blythe.p1@direct.elkochc.nextgenshare.com
- chelsey.blythe.p4@direct.elkochc.nextgenshare.com
- chelsey.blythe.p3@direct.elkochc.nextgenshare.com
- cblythe@direct.nevadahealthcenters.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1982 | NV | Yes |
Addresses
Primary practice location
2102 Idaho St
Elko, NV 89801
Mailing address
3325 Research Way
Carson City, NV 89706-7913
Phone (775) 888-6610
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA1982 | Other | NV | NV PA LICENSE |
| 1275947624 | Medicaid | NV |
Other names
- Chelsey Allen
Other providers in Elko, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.