Individual provider Active NPI

Chelsi Rayford, PA-C

  • Physician Assistant
  • Portland, OR
National Provider Identifier
1972019149
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA191997 Issued in OR
Practice address
911 NW 18TH Ave
Portland, OR 97209-2324
Phone
(971) 801-1370
Fax
(971) 544-1201
NPI assigned
Dec 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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 PA191997 OR Primary
Physician Assistant 363A00000X PA60962035 WA

Addresses

Primary practice location

911 NW 18TH Ave
Portland, OR 97209-2324

Mailing address

2200 NE Neff Rd Ste 204
Bend, OR 97701-4281
Phone (541) 382-8346

Other practice location 1

1405 SE 164th Ave Ste 101
Vancouver, WA 98683-9644
Phone (360) 938-6005

Other practice location 2

9200 SE 91st Ave Ste 200
Happy Valley, OR 97086-3756
Phone (971) 801-1373

Other identifiers 2

IdentifierTypeStateIssuer
500778545MedicaidOR
2136955MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190724000124 WA Practitioner - Physician Assistant 5799011144 Reassigns benefits to 2 organizations
I20200413002300 OR Practitioner - Physician Assistant 5799011144 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Vein Restoration Or LLCGroup PAC ID 1355824913, 13 clinicians
Inovia LLCGroup PAC ID 2860592854, 15 clinicians

Practice addresses (Care Compare)

1405 SE 164TH Ave
Suite 101
Vancouver, WA 98683-9644
Phone (855) 830-8346

2200 NE Neff Rd
Suite 204
Bend, OR 97701-4281

911 NW 18TH Ave
Portland, OR 97209-2324
Phone (855) 830-8346

Merit-based Incentive Payment System (MIPS)

Final score
85.76 of 100Reported as group
Quality
88.93
Promoting interoperability
93
Improvement activities
40
Cost
69.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA191997ORMDPhysician Assistant

Organizations & group practices 2

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": "1513987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1972019149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 NE NEFF RD STE 204",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014281",
            "telephone_number": "541-382-8346",
            "fax_number": "541-382-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 NW 18TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092324",
            "telephone_number": "971-801-1370",
            "fax_number": "971-544-1201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1405 SE 164th Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986839644",
            "country_code": "US",
            "telephone_number": "360-938-6005",
            "fax_number": "360-946-2212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9200 SE 91st Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Happy Valley",
            "state": "OR",
            "postal_code": "970863756",
            "country_code": "US",
            "telephone_number": "971-801-1373",
            "fax_number": "971-801-1401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYFORD",
        "first_name": "CHELSI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-23",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA191997",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60962035",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500778545",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2136955",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.