NPIMap

Individual provider Active NPI

Chelsea M Farnsworth, APRN-CNP, CNE, FNP-C

  • Family Nurse Practitioner
  • Twin Falls, ID
National Provider Identifier
1295474229
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
72975 Issued in ID
Practice address
1309 Blue Lakes Blvd N
Twin Falls, ID 83301-3310
Phone
(208) 933-4440
NPI assigned
May 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 72975 ID Primary

Addresses

Primary practice location

1309 Blue Lakes Blvd N
Twin Falls, ID 83301-3310

Mailing address

PO Box 5809
Twin Falls, ID 83303-5809
Phone (208) 933-4440

Other names 1

  • Chelsea M Kack Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL cmffnp@gmail.com

Organizations & group practices 11

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Canyon Medical Center Inc 73 clinicians

Practice addresses (Care Compare)

718 Hwy 30
Buhl, ID 83316-5039
Phone 20893444331606

Hospital & facility affiliations

  • North Canyon Medical Center Hospital, Gooding, ID, CCN 131302
  • St Lukes Magic Valley Medical Center Hospital, Twin Falls, ID, CCN 130002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220830003261 ID Practitioner - Nurse Practitioner 6204210941 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
72975IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Canyon Medical Center, Inc. CurrentSince Feb 15, 2024 Accepting new patients
Urgent Care of Idaho, LLC Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
North Canyon Medical Center Inc. Current Accepting new patients
North Canyon Medical Center, Inc. CurrentSince Feb 15, 2024 Accepting new patients
Urgent Care of Idaho, LLC Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
River View Urgent Care & Medical Center Inc CurrentSince Aug 1, 2022 Accepting new patients
Inland Cardiology Associates, P.S. Past Accepting new patients

Locations

718 Highway 30
Buhl, ID 83316
Phone (208) 543-4785

382 N Overland Ave
Burley, ID 83318
Phone (208) 378-7700

267 N Canyon Dr
Gooding, ID 83330
Phone (208) 934-4433

133 W Avenue A
#B
Jerome, ID 83338
Phone (208) 324-2004

2392 Addison Ave E
Twin Falls, ID 83301
Phone (208) 933-2050

1309 Blue Lakes Blvd N
Twin Falls, ID 83301
Phone (208) 933-4440

NPI Registry JSON

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1295474229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5809",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833035809",
            "telephone_number": "208-933-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 BLUE LAKES BLVD N",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013310",
            "telephone_number": "208-933-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNSWORTH",
        "first_name": "CHELSEA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP, CNE, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "72975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cmffnp@gmail.com",
            "affiliation": "N",
            "address_1": "1309 Blue Lakes Blvd N",
            "city": "Twin Falls",
            "state": "ID",
            "country_code": "US",
            "postal_code": "833013310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "KACK",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.