Angela Dean Chisholm, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

3015481 Issued in KY

Practice address

161 Alpine Dr
Shelbyville, KY 40065-8878

Phone

(502) 317-6211

Fax

(800) 887-3154

NPI assigned

Jul 21, 2009

Last updated

Oct 27, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OR, KY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: achisholm33813@ukhcdirect.org
• Direct secure messaging: achisholm244046@samhealth.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rise Clinic

  • Health Service Clinic/Center
  • Shelbyville, KY
  • NPI 1104618073
  Medicare reassignment NPD Authorized official
• University of Kentucky

  • Diagnostic Radiology Physician
  • Lexington, KY
  • NPI 1770771974
  Medicare reassignment NPD
• Good Samaritan Hospital Corvallis

  dba Good Samaritan Regional Medical Center

  • General Acute Care Hospital
  • Corvallis, OR
  • NPI 1962453134
  Medicare reassignment NPD
• Samaritan Pacific Health Services, Inc.

  dba Samaritan Medical Group Occupational Medicine - Newport

  • Physical Medicine & Rehabilitation Physician
  • Newport, OR
  • NPI 1174888010
  Medicare reassignment NPD
• Mid-Valley Healthcare Inc

  dba Samaritan Lebanon Community Hospital

  • Critical Access Hospital
  • Lebanon, OR
  • NPI 1689625980
  Medicare reassignment
• Samaritan Pacific Health Services, Inc

  dba Samaritan Pacific Communities Hospital

  • Critical Access Hospital
  • Newport, OR
  • NPI 1801847066
  Medicare reassignment
• Good Samaritan Hospital Corvallis

  dba Samaritan Hematology & Oncology - Corvallis

  • Internal Medicine Physician
  • Corvallis, OR
  • NPI 1962776989
  NPD
• Mid-Valley Healthcare, Inc.

  dba Samaritan Family Medicine-Brownsville

  • Rural Health Clinic/Center
  • Brownsville, OR
  • NPI 1073879227
  NPD
• Central City Concern

  • Substance Abuse Rehabilitation Facility
  • Portland, OR
  • NPI 1679832315
  NPD (past)
• Central City Concern, Inc

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1548071848
  NPD (past)
• Firstcare Medical Foundation

  dba Samaritan Medical Clinics

  • Family Medicine Physician
  • Albany, OR
  • NPI 1740216498
  NPD (past)
• Good Samaritan Hospital Corvallis

  dba Samaritan Orthopedics-Luis Vela, DO

  • Durable Medical Equipment & Medical Supplies
  • Corvallis, OR
  • NPI 1477851186
  NPD (past)

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1457581837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 1ST ST",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651051",
            "telephone_number": "541-602-7935",
            "fax_number": "800-887-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 ALPINE DR",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658878",
            "telephone_number": "502-317-6211",
            "fax_number": "800-887-3154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3640 NW Samaritan Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303784",
            "country_code": "US",
            "telephone_number": "541-768-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHISHOLM",
        "first_name": "ANGELA",
        "middle_name": "DEAN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "200950093NP",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "KY",
            "license": "3015481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100711960",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "achisholm5287@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "3640 NW Samaritan Dr Ste 220",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973303784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alyssa Kay Chambliss, M.S., CCC-SLP
• Craig C Chaney
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• CHM Mobile Care
• Chrysanthemum Ventures LLC (Griswold Home Care for East Louisville)
• Emily Church
• Troy Cilone, LPA
• Amanda Cisneros

• Advanced Practice Midwife in Shelbyville, KY
• Providers in Shelbyville, KY by specialty
• Advanced Practice Midwife in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.