Individual provider Active NPI

Holly Chelmo, CRNA

  • Certified Registered Nurse Anesthetist
  • Anchorage, AK
National Provider Identifier
1629334552
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
15 Issued in AK
Practice address
4315 Diplomacy Dr
Anchorage, AK 99508-5926
Phone
(907) 563-2662
NPI assigned
Apr 4, 2012
Last updated
Apr 4, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 15 AK Primary

Addresses

Primary practice location

4315 Diplomacy Dr
Anchorage, AK 99508-5926

Mailing address

4206 Garfield St
Apt. B
Anchorage, AK 99503-6436
Phone (406) 390-7625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120423000300 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042471898 Reassigns benefits to 3 organizations
I20190611000800 AK Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042471898 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Anchorage Anesthesia Medical Group PCGroup PAC ID 2163414830, 52 clinicians
Alpine Anesthesia LLCGroup PAC ID 1153519525, 11 clinicians

Practice addresses (Care Compare)

3300 Providence Dr
Suite 207
Anchorage, AK 99508-4620
Phone (907) 561-0005

3831 Piper St
S110
Anchorage, AK 99508-4634
Phone (907) 261-7135

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.58 of 100Reported as group
Quality
74.05
Improvement activities
40
Cost
56.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15AKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chugach Anesthesia, LLC CurrentSince Jun 1, 2019 Accepting new patients
South Peninsula Hospital, Inc CurrentSince Nov 23, 2019 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Jan 9, 2023 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Apr 2, 2012 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Jan 2, 2023 Accepting new patients
Denali Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2022 Accepting new patients
Providence Anchorage Anesthesia Medical Group, P.C. CurrentSince Feb 19, 2024 Accepting new patients
South Peninsula Hospital, Inc. CurrentSince Nov 23, 2019 Accepting new patients
Alpine Anesthesia LLC CurrentSince Apr 11, 2025 Accepting new patients
Providence Health & Services - Washington CurrentSince Jul 23, 2023 Accepting new patients
Providence Health & Services Washington CurrentSince Jul 23, 2023 Accepting new patients
Alaska Spine Center, LLC Past Accepting new patients

Locations

1230 Northway Dr
Anchorage, AK 99508
Phone (907) 550-6100

2801 Debarr Rd
Anchorage, AK 99508
Phone (907) 264-1222

3300 Providence Dr
Ste 207
Anchorage, AK 99508
Phone (907) 279-0555

3831 Piper St
Ste S110
Anchorage, AK 99508
Phone (907) 261-7135

4100 Lake Otis Pkwy
Ste 212
Anchorage, AK 99508
Phone (907) 550-6100

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

4300 Bartlett St
Homer, AK 99603
Phone (907) 235-0369

1915 E Rezanof Dr
Kodiak, AK 99615
Phone (907) 486-3281

14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

Organizations & group practices 12

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.

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": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1629334552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 GARFIELD ST",
            "address_2": "APT. B",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995036436",
            "telephone_number": "406-390-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 DIPLOMACY DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085926",
            "telephone_number": "907-563-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHELMO",
        "first_name": "HOLLY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AK",
            "license": "15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.