Individual provider Active NPI

Chelsea Brian, NP

  • Nurse Practitioner
  • Idaho Falls, ID
National Provider Identifier
1285389353
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
54964 Issued in ID
Practice address
2990 Cortez Ave
Idaho Falls, ID 83404-7554
Phone
(208) 535-0440
NPI assigned
Feb 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 54964 ID Primary

Addresses

Primary practice location

2990 Cortez Ave
Idaho Falls, ID 83404-7554

Mailing address

13862 N 175 E
Ririe, ID 83443-5009
Phone (503) 828-8623

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
I20220405001664 ID Practitioner - Nurse Practitioner 4385030030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monarch Healthcare PLLCGroup PAC ID 4981922309, 10 clinicians

Practice addresses (Care Compare)

2990 Cortez Ave
Idaho Falls, ID 83404-7554
Phone (208) 535-0440

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
54964IDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Healthcare PLLC Obstetrics & Gynecology CurrentSince Feb 1, 2022 Accepting new patients

Locations

2060 S Woodruff Ave
Idaho Falls, ID 83404
Phone (208) 523-7246

2990 Cortez Ave
Idaho Falls, ID 83404
Phone (208) 535-0440

Interoperability endpoints

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

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.

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": "1645056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1285389353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13862 N 175 E",
            "city": "RIRIE",
            "state": "ID",
            "postal_code": "834435009",
            "telephone_number": "503-828-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 CORTEZ AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047554",
            "telephone_number": "208-535-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIAN",
        "first_name": "CHELSEA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "54964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.