NPIMap

Individual provider Active NPI

Chelsea Luzum, PA

  • Physician Assistant
  • Fort Collins, CO
National Provider Identifier
1811418106
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0009604 Issued in CO
Practice address
1024 S Lemay Ave
Fort Collins, CO 80524-3929
Phone
(970) 484-4757
Fax
(970) 484-4759
NPI assigned
Jun 28, 2017
Last updated
May 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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.0009604 CO Primary

Addresses

Primary practice location

1024 S Lemay Ave
Fort Collins, CO 80524-3929

Mailing address

2008 Caribou Dr
Fort Collins, CO 80525-4325
Phone (970) 484-4757

Other names 1

  • Chelsea Peters Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170914003748 MI Practitioner - Physician Assistant 1951675925 Reassigns benefits to 1 organization
I20260313004244 CO Practitioner - Physician Assistant 1951675925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Radiology Services PCGroup PAC ID 4284546516, 252 clinicians
Fort Collins Radiologic Associates PCGroup PAC ID 7315844396, 63 clinicians

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560
Phone (616) 363-7272

1024 S Lemay Ave
Fort Collins, CO 80524-3929
Phone (970) 495-7000

1104 Plymouth Ave SE
East Grand Rapids, MI 49506-6528
Phone (616) 363-7272

11751 Hastings Rd
Clarksville, MI 48815-9753
Phone (616) 363-7272

14544 Georgian Bay Dr
Holland, MI 49424-7535
Phone (616) 363-7272

1700 Flowers Crossing Dr NE
Grand Rapids, MI 49525-9523
Phone (616) 363-7272

1840 Wealthy St SE
Grand Rapids, MI 49506-2921
Phone (616) 363-7272

212 S Sullivan Ave
Fremont, MI 49412-1548
Phone (616) 363-7272

2135 Lincoln St
Marne, MI 49435-9709
Phone (616) 363-7272

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone 61636372721046

3700 Lake Birch St NE
Grand Rapids, MI 49525-8606
Phone (616) 363-7272

602 Michigan Ave
Holland, MI 49423-4918
Phone (616) 363-7272

605 Oak St
Big Rapids, MI 49307-2048
Phone (616) 363-7272

6680 Farms End Dr SE
Grand Rapids, MI 49546-6620
Phone (616) 363-7272

8333 Felch St
Zeeland, MI 49464-2608
Phone (616) 363-7272

947 San Jose Dr SE
East Grand Rapids, MI 49506-3421
Phone (616) 363-7272

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.33 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0009604COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Collins Radiologic Associates PC CurrentSince May 1, 2026 Accepting new patients

Locations

1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000

2008 Caribou Dr
Fort Collins, CO 80525

2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425

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.

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1811418106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 CARIBOU DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805254325",
            "telephone_number": "970-484-4757",
            "fax_number": "970-484-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 S LEMAY AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243929",
            "telephone_number": "970-484-4757",
            "fax_number": "970-484-4759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUZUM",
        "first_name": "CHELSEA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0009604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "PETERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.