Individual provider Active NPI

Chelsea Dawn Unruh, MD

  • Family Medicine Physician
  • Yelm, WA
National Provider Identifier
1821402298
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60675931 Issued in WA
Practice address
201 Tahoma Blvd Unit 102
Yelm, WA 98597-7735
Phone
(360) 458-7761
Fax
(360) 458-6612
NPI assigned
Jun 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD60675931 WA Primary

Addresses

Primary practice location

201 Tahoma Blvd Unit 102
Yelm, WA 98597-7735

Mailing address

201 Tahoma Blvd Unit 102
Yelm, WA 98597-7735
Phone (360) 458-8115

Other practice location 1

525 Lilly Rd NE
Olympia, WA 98506-5101
Phone (360) 493-7230

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170728001739 WA Practitioner - Family Practice 3173749264 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yelm Family Medicine, PLLCGroup PAC ID 6608767280, 11 clinicians

Practice addresses (Care Compare)

201 Tahoma Blvd
Unit 102
Yelm, WA 98597-7735
Phone (360) 458-7761

Hospital & facility affiliations

  • Providence St Peter Hospital Hospital, Olympia, WA, CCN 500024
  • Providence Centralia Hospital Hospital, Centralia, WA, CCN 500019

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington Family Medicine CurrentSince Jul 29, 2018 Accepting new patients
Yelm Family Medicine, PLLC Family Medicine CurrentSince Sep 11, 2017 Accepting new patients
Providence Health & Services Washington CurrentSince Jul 29, 2018 Accepting new patients
Providence Health & Services Washington Family Medicine Current Accepting new patients

Locations

525 Lilly Rd NE
Ste 200
Olympia, WA 98506
Phone (360) 493-4510

413 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-9480

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

201 Tahoma Blvd
Unit 102
Yelm, WA 98597
Phone (360) 458-7761

Interoperability endpoints

  • Direct secure messaging: cunruh424723@wm.providencedirect.org

Organizations & group practices 4

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 3

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": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1821402298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 TAHOMA BLVD UNIT 102",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985977735",
            "telephone_number": "360-458-8115",
            "fax_number": "360-458-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 TAHOMA BLVD UNIT 102",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985977735",
            "telephone_number": "360-458-7761",
            "fax_number": "360-458-6612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Lilly Rd NE",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985065101",
            "country_code": "US",
            "telephone_number": "360-493-7230",
            "fax_number": "360-493-4180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNRUH",
        "first_name": "CHELSEA",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60675931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yelm, WA

Sources for this page

Verify at the official NPI Registry.