Individual provider Active NPI

Chelsea Rose Rasis, PA-C

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1700176583
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0003170 Issued in CO
Practice address
1212 S Broadway
#150
Denver, CO 80210-1582
Phone
(303) 777-2777
Fax
(303) 871-0218
NPI assigned
Apr 13, 2011
Last updated
Jan 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0003170 CO Primary

Addresses

Primary practice location

1212 S Broadway
#150
Denver, CO 80210-1582

Mailing address

1212 S Broadway
#150
Denver, CO 80210-1582
Phone (303) 777-2777

Other names 1

  • Chelsea Rose Dezen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20120823000105 CO Practitioner - Physician Assistant 1759538960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

11185 W 6TH Ave
Lakewood, CO 80215-5538
Phone (972) 720-7768

1730 Blake St
Suite 100
Denver, CO 80202-1274
Phone (303) 296-2273

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Jul 23, 2012 Accepting new patients
American Current Care PA CurrentSince Jul 23, 2012 Accepting new patients

Locations

1212 S Broadway
Ste 150
Denver, CO 80210
Phone (303) 777-2777

1730 Blake St
Ste 100
Denver, CO 80202
Phone (303) 296-2273

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 2

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": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1700176583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 S BROADWAY",
            "address_2": "#150",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802101582",
            "telephone_number": "303-777-2777",
            "fax_number": "303-871-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 S BROADWAY",
            "address_2": "#150",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802101582",
            "telephone_number": "303-777-2777",
            "fax_number": "303-871-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASIS",
        "first_name": "CHELSEA",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-13",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0003170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "DEZEN",
            "middle_name": "ROSE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.