NPIMap

Individual provider Active NPI

Chelsie Coffman, PA-C

  • Medical Physician Assistant
  • Klawock, AK
National Provider Identifier
1922634047
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
7300 Klawock Hollis Hwy a
Klawock, AK 99925
Phone
(907) 755-4800
NPI assigned
Mar 20, 2020
Last updated
Nov 19, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 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 Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

7300 Klawock Hollis Hwy a
Klawock, AK 99925

Mailing address

PO Box 69
Klawock, AK 99925-0069
Phone (907) 755-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK2 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
I20200731001084 TX Practitioner - Physician Assistant 1153746615 Reassigns benefits to 3 organizations
I20230327001239 AK Practitioner - Physician Assistant 1153746615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Eastern Virginia Medical School, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yakutat Tribal Health BoardGroup PAC ID 4981968369, 11 clinicians

Practice addresses (Care Compare)

115 Airport Rd
Yakutat, AK 99689-0112

115 Airport Way
Yakutat Community Hospital
Yakutat, AK 99689-0112
Phone (907) 784-3275

6000 Kanakanak Rd
Dillingham, AK 99576-0130
Phone (907) 842-5201

P O Box
Dillingham, AK 99576-0130

PO Box
Suite 130
Dillingham, AK 99576-0130
Phone (907) 842-5201

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Bay Area Health Corporation CurrentSince Feb 19, 2026 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Jul 27, 2020 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Jul 27, 2020 Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Feb 19, 2026 Accepting new patients
Iliuliuk Family &Health Services, Inc. Past Accepting new patients
Searhc PastSince Aug 23, 2020 Accepting new patients

Locations

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8519

Organizations & group practices 9

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 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": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1922634047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "KLAWOCK",
            "state": "AK",
            "postal_code": "999250069",
            "telephone_number": "907-755-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 KLAWOCK HOLLIS HWY A",
            "city": "KLAWOCK",
            "state": "AK",
            "postal_code": "99925",
            "telephone_number": "907-755-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "CHELSIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klawock, AK

Sources for this page

Verify at the official NPI Registry.