Individual provider Active NPI

Ashley Arcy Rachael Chermak, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Idaho Falls, ID
National Provider Identifier
1447091087
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2024041130 Issued in ID
Practice address
2280 E 25TH St
Idaho Falls, ID 83404-7542
Phone
(208) 227-2100
Fax
(208) 227-2362
NPI assigned
Jun 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2024041130 ID Primary

Addresses

Primary practice location

2280 E 25TH St
Idaho Falls, ID 83404-7542

Mailing address

PO Box 742358
Atlanta, GA 30374-2358

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
I20241016000749 ID Practitioner - Nurse Practitioner 1052843083 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Idaho Behavioral Health Services LLCGroup PAC ID 7315184272, 7 clinicians

Practice addresses (Care Compare)

2280 E 25TH St
Eastern Idaho Regional Medical Center
Idaho Falls, ID 83404-7542
Phone (208) 227-2260

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024041130IDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Family Care PLLC CurrentSince Sep 1, 2024 Accepting new patients
Idaho Behavioral Health Services, LLC CurrentSince Sep 2, 2025 Accepting new patients

Locations

2280 E 25th St
Idaho Falls, ID 83404
Phone (208) 227-2100

685 1st St
Idaho Falls, ID 83401
Phone (208) 520-8239

10 Madison Professional Park
Rexburg, ID 83440
Phone (208) 356-9666

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1447091087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742358",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 E 25TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047542",
            "telephone_number": "208-227-2100",
            "fax_number": "208-227-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERMAK",
        "first_name": "ASHLEY",
        "middle_name": "ARCY RACHAEL",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "2024041130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.