Individual provider Active NPI

Chelsea Marie Klein, PA-C

  • Physician Assistant
  • Boulder, CO
National Provider Identifier
1750949855
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0005648 Issued in CO
Practice address
4895 Riverbend Rd Ste a
Boulder, CO 80301-2640
Phone
(720) 279-9098
NPI assigned
Jun 3, 2019
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PAC0773 ND
Physician Assistant 363A00000X PA0005648 CO Primary

Addresses

Primary practice location

4895 Riverbend Rd Ste a
Boulder, CO 80301-2640

Mailing address

10371 W 6TH PL
Lakewood, CO 80215-5604
Phone (701) 306-5831

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
I20210105001068 CO Practitioner - Physician Assistant 1557690849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Joseph Hospital, IncGroup PAC ID 6204735970, 18 clinicians

Practice addresses (Care Compare)

1960 N Ogden St
Suite 110
Denver, CO 80218-3667
Phone (303) 812-6850

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA0005648COMDPhysician Assistant
PAC0773NDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Hospital, Inc Past Accepting new patients

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": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1750949855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10371 W 6TH PL",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802155604",
            "telephone_number": "701-306-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4895 RIVERBEND RD STE A",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012640",
            "telephone_number": "720-279-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "CHELSEA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ND",
            "license": "PAC0773",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA0005648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.