Active NPI
Chance Davis Christensen, MD
- Family Medicine Physician
- Pocatello, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MRM-1735
- Practice address
- 465 Memorial Dr
Pocatello, ID 83201-4008 - Phone
- (208) 234-4700
- NPI assigned
- Jun 18, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MRM-1735 | ID | Primary |
Addresses
Primary practice location
465 Memorial Dr
Pocatello, ID 83201-4008
Mailing address
465 Memorial Dr
Pocatello, ID 83201-4008
Phone (208) 282-4421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Utah School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
167 E 1St
Rigby, ID 83442-1401
Phone (208) 745-8747
765 S Utah Ave
Idaho Falls, ID 83402-5093
Phone (208) 585-2600
Hospital & facility affiliations
- Advanced Home Health
- Mountain View Hospital
- Idaho Falls Community Hospital, LLC
- Eastern Idaho Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MRM-1735 | ID | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care | Family Medicine | Current | Accepting new patients |
| Community Care Pocatello PLLC | Current | Accepting new patients | |
| Community Care West Side LLC | Family Medicine | Current | Accepting new patients |
| Mountain View Hospital LLC | Current | Accepting new patients | |
| CC Pocatello LLC | Family Medicine | Current | Accepting new patients |
| Mountain View Hospital Physician Organization | Past | Accepting new patients |
Locations
2725 Channing Way
Idaho Falls, ID 83404
Phone (208) 525-8448
2730 Channing Way
Idaho Falls, ID 83404
Phone (208) 542-7100
2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686
765 S Utah Ave
Idaho Falls, ID 83402
Phone (208) 525-2600
1595 Yellowstone Ave
Pocatello, ID 83201
Phone (208) 233-0032
404 N 2nd E
Rexburg, ID 83440
Phone (208) 359-1770
167 E 1st S
Rigby, ID 83442
Phone (208) 745-8747
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Idaho Falls, ID
- NPI 1295009785
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
- Family Medicine Physician
- Pocatello, ID
- NPI 1538517156
-
- Family Medicine Physician
- Idaho Falls, ID
- NPI 1790708832
-
- Urgent Care Clinic/Center
- Pocatello, ID
- NPI 1265714760
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1073834529
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Idaho Falls, ID
- NPI 1366686826
-
- Home Health Agency
- Pocatello, ID
- NPI 1457858052
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1225082209
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1114481447
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549670400000",
"number": "1841784535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "465 MEMORIAL DR",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832014008",
"telephone_number": "208-282-4421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 MEMORIAL DR",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832014008",
"telephone_number": "208-234-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTENSEN",
"first_name": "CHANCE",
"middle_name": "DAVIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-18",
"last_updated": "2019-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "MRM-1735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.