Individual provider Active NPI

Chelsea A Reich, PA-C

  • Physician Assistant
  • Fargo, ND
National Provider Identifier
1508268491
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PAC0762 Issued in ND
Practice address
3625 Lincoln St S Ste C
Fargo, ND 58104-7766
Phone
(701) 532-2458
NPI assigned
Sep 23, 2014
Last updated
Feb 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1012 SD
Physician Assistant 363A00000X 12887 MN
Physician Assistant 363A00000X PAC0762 ND Primary

Addresses

Primary practice location

3625 Lincoln St S Ste C
Fargo, ND 58104-7766

Mailing address

3625 Lincoln St S Ste C
Fargo, ND 58104-7766
Phone (701) 532-2458

Other names 1

  • Chelsea A Van Dyke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, ND2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151223000983 SD Practitioner - Physician Assistant 1951602572 Reassigns benefits to 1 organization
I20190329000349 ND Practitioner - Physician Assistant 1951602572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Progress Weight Management PLLCGroup PAC ID 1153783246, 5 clinicians

Practice addresses (Care Compare)

3625 Lincoln St S
Suite C
Fargo, ND 58104-7766
Phone (701) 532-2458

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1012SDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sioux Falls Specialty Hospital, LLP CurrentSince Nov 16, 2015 Accepting new patients
Sioux Falls Specialty Hospital, LLP CurrentSince Nov 16, 2015 Accepting new patients
Innovis Health, LLC Past Accepting new patients

Locations

4928 N Cliff Ave
Sioux Falls, SD 57104
Phone (605) 322-5100

716 E 19th St
Sioux Falls, SD 57105
Phone (605) 444-8650

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1508268491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 LINCOLN ST S STE C",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047766",
            "telephone_number": "701-532-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 LINCOLN ST S STE C",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047766",
            "telephone_number": "701-532-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICH",
        "first_name": "CHELSEA",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "1012",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "12887",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ND",
            "license": "PAC0762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "VAN DYKE",
            "middle_name": "A",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.