Individual provider Active NPI

Chelsea C Burchette, PA-C

  • Medical Physician Assistant
  • Grants Pass, OR
National Provider Identifier
1467448381
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA00781 Issued in OR
Practice address
741 NE 6TH St
Grants Pass, OR 97526-1556
Phone
(541) 471-2701
Fax
(541) 471-1166
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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 PA00781 OR Primary

Addresses

Primary practice location

741 NE 6TH St
Grants Pass, OR 97526-1556

Mailing address

741 NE 6TH St
Grants Pass, OR 97526-1556
Phone (541) 471-2701

Other identifiers 1

IdentifierTypeStateIssuer
135288MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20101105000964 OR Practitioner - Physician Assistant 1153516968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Immediate Care, LLCGroup PAC ID 7618876723, 36 clinicians

Practice addresses (Care Compare)

10586 Hwy 62
Suite a
Eagle Point, OR 97524-9438
Phone (541) 734-9030

1217 Plaza Blvd
Suite a
Central Point, OR 97502-2682
Phone (541) 734-9030

1600 Delta Waters Rd
Suite 107
Medford, OR 97504-9114
Phone (541) 858-2515

162 NE Beacon Dr
Suite 103
Grants Pass, OR 97526-4260
Phone (541) 734-9030

Hospital & facility affiliations

  • Asante Three Rivers Medical Center Hospital, Grants Pass, OR, CCN 380002

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Immediate Care, LLC Past Accepting new patients
Valley Immediate Care, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: chelseaburchette@mvfp.allscriptsdirect.net

Organizations & group practices 3

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 1

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1467448381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 NE 6TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261556",
            "telephone_number": "541-471-2701",
            "fax_number": "541-471-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 NE 6TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261556",
            "telephone_number": "541-471-2701",
            "fax_number": "541-471-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCHETTE",
        "first_name": "CHELSEA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA00781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135288",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

Verify at the official NPI Registry.