Ivy Jane Chalmers, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2153 Issued in CO

Practice address

978 Euclid Ave
Carbondale, CO 81623-1820

Phone

(970) 963-3350

Fax

(970) 963-2958

NPI assigned

Mar 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ivy.hansen.1@32157.direct.athenahealth.com

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.

• Valley View Hospital Association

  • Neurological Surgery Physician
  • Aspen, CO
  • NPI 1376134841
  Medicare reassignment
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  CO

  Medicare reassignment
• Valley View Hospital Association

  • Urology Physician
  • Glenwood Springs, CO
  • NPI 1952537664
  NPD
• Roaring Fork Family Physicians, P.C.

  • Family Medicine Physician
  • Carbondale, CO
  • NPI 1063630226
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1376673582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 BLAKE AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014227",
            "telephone_number": "970-384-7033",
            "fax_number": "970-384-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "978 EUCLID AVE",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816231820",
            "telephone_number": "970-963-3350",
            "fax_number": "970-963-2958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 Cottonwood Dr",
            "address_purpose": "LOCATION",
            "city": "Basalt",
            "state": "CO",
            "postal_code": "816218345",
            "country_code": "US",
            "telephone_number": "970-384-6054",
            "fax_number": "970-384-6069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHALMERS",
        "first_name": "IVY",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "2153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carbondale Dental Center P.C.
• Carbondale Family Dental
• Renee Carey
• Castle Valley Children'S Clinic
• Challenge America
• Barbara Chambliss, LPC
• Coby Jones DPT PLLC
• Colorado Medical Investors, LLC
• Communication Corner Speech Language Therapy LLC
• Connor Rivers PLLC

• Medical Physician Assistant in Carbondale, CO
• Providers in Carbondale, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.