Individual provider Active NPI

Chelsea Clareann Yager, PA

  • Medical Physician Assistant
  • Massena, NY
National Provider Identifier
1568022853
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
181 Maple St Ste a
Massena, NY 13662-1052
Phone
(315) 842-3095
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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 Primary

Addresses

Primary practice location

181 Maple St Ste a
Massena, NY 13662-1052

Mailing address

806 Tulip St Apt 1
Liverpool, NY 13088-5081
Phone (315) 404-0442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190731003904 NY Practitioner - Physician Assistant 4587990361 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Massena Hospital IncGroup PAC ID 1456781491, 45 clinicians
Canton-Potsdam HospitalGroup PAC ID 6204827280, 243 clinicians

Practice addresses (Care Compare)

1 Hospital Dr
Massena, NY 13662-1056
Phone (315) 769-4200

181 Maple St
Massena, NY 13662-1052

201 Market St
Suite E
Potsdam, NY 13676-1218
Phone (315) 274-9102

6119 US Hwy 11
Canton, NY 13617-3991
Phone (315) 265-3300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023557NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Canton-Potsdam Hospital CurrentSince Feb 6, 2024 Accepting new patients
Massena Hospital, Inc CurrentSince Feb 6, 2024 Accepting new patients
North Medical PC Current Accepting new patients
North Shore - Lij Medical PC CurrentSince Nov 1, 2022 Accepting new patients
Canton Potsdam Hospital Past Accepting new patients

Locations

6119 US Highway 11
Ste 11
Canton, NY 13617

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

181 Maple St
Ste A
Massena, NY 13662
Phone (315) 769-4704

1 Hospital Dr
Massena, NY 13662
Phone (315) 764-1711

181 Maple St
Massena, NY 13662
Phone (315) 769-1667

300 Community Dr
Plandome, NY 11030

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102

972 Brush Hollow Rd
Westbury, NY 11590

Interoperability endpoints

  • Direct secure messaging: cyager2389692@direct.trinity-health.org
  • Direct secure messaging: cyager386561@direct.rochesterregional.org

Organizations & group practices 10

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 5

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": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1568022853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 TULIP ST APT 1",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130885081",
            "telephone_number": "315-404-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 MAPLE ST STE A",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136621052",
            "telephone_number": "315-842-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGER",
        "first_name": "CHELSEA",
        "middle_name": "CLAREANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massena, NY

Sources for this page

Verify at the official NPI Registry.