Individual provider Active NPI

Chelsea Lauren Burg, PAC

  • Physician Assistant
  • Castle Rock, CO
National Provider Identifier
1902234107
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0003824 Issued in CO
Practice address
2356 Meadows Blvd Ste 340
Castle Rock, CO 80109-8410
Phone
(303) 761-7797
Fax
(303) 789-2995
NPI assigned
Oct 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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 5541 AZ
Physician Assistant 363A00000X PA0003824 CO Primary

Addresses

Primary practice location

2356 Meadows Blvd Ste 340
Castle Rock, CO 80109-8410

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

255 S Routt St Ste 350
Lakewood, CO 80228-2355
Phone (303) 761-7797

Other practice location 2

3701 S Clarkson St Ste 400
Englewood, CO 80113-3960
Phone (303) 761-7797

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address Chelsea.Burg@forefrontdermatology.emadirect.md
Direct Messaging Address Chelsea.Burg@forefrontdermatology.emadirect.md
Direct Messaging Address Chelsea.Burg@forefrontdermatology.emadirect.md

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
I20131220000641 CO Practitioner - Physician Assistant 7911134077 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

2356 Meadows Blvd
Suite 340
Castle Rock, CO 80109-8410
Phone (303) 761-7797

255 S Routt St
Suite 350 Asarch Dermatology
Lakewood, CO 80228-2271
Phone (303) 761-7797

3701 S Clarkson St
Suite 400
Englewood, CO 80113-3960
Phone (303) 761-7797

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5541AZMDPharmacist
PA0003824COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Dec 4, 2020 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Dec 4, 2020 Accepting new patients
Orthopedic Centers of Colorado, LLC Physician Assistant CurrentSince Jan 7, 2018 Accepting new patients
Orthopedic Centers of Colorado, LLC Physician Assistant CurrentSince Jan 7, 2018 Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients

Locations

1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134

2356 Meadows Blvd
Ste 340
Castle Rock, CO 80109

3701 S Clarkson St
Ste 400
Englewood, CO 80113

255 S Routt St
Ste 350
Lakewood, CO 80228

8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998

1017 W 7th St
Wray, CO 80758
Phone (970) 332-4811

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: chelsea.burg@forefrontdermatology.emadirect.md
  • Direct secure messaging: chelseaburg@occllc.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1902234107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2356 MEADOWS BLVD STE 340",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098410",
            "telephone_number": "303-761-7797",
            "fax_number": "303-789-2995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 S Routt St Ste 350",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802282355",
            "country_code": "US",
            "telephone_number": "303-761-7797",
            "fax_number": "303-789-2995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3701 S Clarkson St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801133960",
            "country_code": "US",
            "telephone_number": "303-761-7797",
            "fax_number": "303-789-2995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURG",
        "first_name": "CHELSEA",
        "middle_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-24",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5541",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA0003824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Chelsea.Burg@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2356 Meadows Blvd Ste 340",
            "city": "Castle Rock",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801098410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Chelsea.Burg@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "255 S Routt St Ste 350",
            "city": "Lakewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802282355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Chelsea.Burg@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "3701 S Clarkson St Ste 400",
            "city": "Englewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801133960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.