Active NPI
Ashley Arcy Rachael Chermak, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Idaho Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2024041130
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2024041130 | ID | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Family Care PLLC | Current | Accepting new patients | |
| Idaho Behavioral Health Services, LLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.