Individual provider Active NPI

Chelsea Lundstrom Crosby, PA-C

  • Physician Assistant
  • Burien, WA
National Provider Identifier
1861715310
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60135343 Issued in WA
Practice address
16233 Sylvester Rd SW Ste 260
Burien, WA 98166-3044
Phone
(206) 835-7400
Fax
(253) 426-6344
NPI assigned
Mar 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA.60135343 WA
Physician Assistant 363A00000X PA60135343 WA Primary

Addresses

Primary practice location

16233 Sylvester Rd SW Ste 260
Burien, WA 98166-3044

Mailing address

16233 Sylvester Rd SW Ste 260
Burien, WA 98166-3044
Phone (206) 835-7400

Other identifiers 4

IdentifierTypeStateIssuer
0285886OtherWAL&I
0285887OtherWAL&I
2006147MedicaidWA
0261142OtherWASTATE L&I

Other names 1

  • Chelsea Lundstrom Woods Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ccrosby8632@fhsce.catholichealth.net Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100422001182 WA Practitioner - Physician Assistant 8426185422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

16233 Sylvester Rd SW
Burien, WA 98166-3044

16251 Sylvester Rd SW
Burien, WA 98166-3017
Phone (206) 244-9970

1812 S J St
Suite 120
Tacoma, WA 98405-4965
Phone (253) 428-2200

34503 9TH Ave S
Federal Way, WA 98003-8726

Hospital & facility affiliations

  • Highline Medical Center Hospital, Burien, WA, CCN 500011
  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.60135343WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group CurrentSince Sep 19, 2011 Accepting new patients
Franciscan Medical Group Past Accepting new patients
Franciscan Medical Group Physician Assistant Past Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

205 10th St NE
#8203
Auburn, WA 98002

16233 Sylvester Rd SW
Ste 260
Burien, WA 98166
Phone (206) 244-3363

1455 Battersby Ave
Enumclaw, WA 98022
Phone (253) 552-5615

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

6401 Kimball Dr
Gig Harbor, WA 98335
Phone (253) 858-4335

4700 Point Fosdick Dr
Ste 203B
Gig Harbor, WA 98335
Phone (253) 857-1130

11567 Canterwood Blvd
Gig Harbor, WA 98332
Phone (253) 530-2000

11315 Bridgeport Way SW
Tacoma, WA 98499
Phone (253) 588-1711

1717 S J St
Stop 136
Tacoma, WA 98405

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

Interoperability endpoints

  • Direct secure messaging: ccrosby8632@fhsce.catholichealth.net

Organizations & group practices 5

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 4

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": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1861715310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16233 SYLVESTER RD SW STE 260",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663044",
            "telephone_number": "206-835-7400",
            "fax_number": "253-426-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16233 SYLVESTER RD SW STE 260",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663044",
            "telephone_number": "206-835-7400",
            "fax_number": "253-426-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "CHELSEA",
        "middle_name": "LUNDSTROM",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-11",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA.60135343",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60135343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0285886",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0285887",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2006147",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L&I",
            "identifier": "0261142",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccrosby8632@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16233 Sylvester Rd SW Ste 260",
            "city": "Burien",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981663044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "WOODS",
            "middle_name": "LUNDSTROM",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burien, WA

Sources for this page

Verify at the official NPI Registry.