Individual provider Active NPI

Chelsea Trask, PA

  • Medical Physician Assistant
  • Tigard, OR
National Provider Identifier
1346748365
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
10215 SW Hall Blvd
Tigard, OR 97223-8809
Phone
(503) 245-2415
NPI assigned
Jan 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

10215 SW Hall Blvd
Tigard, OR 97223-8809

Mailing address

10215 SW Hall Blvd
Tigard, OR 97223-8809

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chelseatrask@rrh.medalliesdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, AK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230809000016 OR Practitioner - Physician Assistant 2668725276 Reassigns benefits to 1 organization
I20250808001055 AK Practitioner - Physician Assistant 2668725276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain West Derm - Blackhart PLLCGroup PAC ID 1153609813, shared by 7 NPIs, 103 clinicians

Practice addresses (Care Compare)

10215 SW Hall Blvd
Tigard, OR 97223-8809
Phone (503) 245-2415

188 W Northern Lights Blvd
Suite 800
Anchorage, AK 99503-3984
Phone (907) 646-8500

3841 Piper St
Suite T4 020
Anchorage, AK 99508-4673
Phone (907) 646-8500

Hospital & facility affiliations

  • Ohsu Hospital and Clinics Hospital, Portland, OR, CCN 380009
  • Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgecrest Regional Hospital Current Accepting new patients
Mountain West Derm - Blackhart PLLC CurrentSince Sep 15, 2025 Accepting new patients
Mountain West Derm - Blackhart PLLC Current Accepting new patients
Bend Dermatology Clinic LLC Current Accepting new patients
Mountain West Derm-Blackhart, PLLC CurrentSince Sep 1, 2022 Accepting new patients
Dermatology Associates,P.C. Past Accepting new patients
Mountain West Derm - Blackhart PLLC Past Accepting new patients

Locations

3841 Piper St
Ste T4-020
Anchorage, AK 99508
Phone (907) 646-8500

188 W Northern Lights Blvd
Ste 800
Anchorage, AK 99503
Phone (907) 276-2803

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

2747 NE Conners Ave
Bend, OR 97701
Phone (541) 322-1980

10215 SW Hall Blvd
Tigard, OR 97223
Phone (503) 245-2415

Interoperability endpoints

  • Direct secure messaging: ctrask@dapdx.emadirect.md
  • Direct secure messaging: chelseatrask@rrh.medalliesdirect.net

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1346748365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10215 SW HALL BLVD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 SW HALL BLVD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238809",
            "telephone_number": "503-245-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRASK",
        "first_name": "CHELSEA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chelseatrask@rrh.medalliesdirect.net",
            "affiliation": "N",
            "endpointDescription": "RRH Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1081 N China Lake Blvd",
            "city": "Ridgecrest",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935553130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.