Active NPI
Chelsey Ann Holcomb, PA-C
- Physician Assistant
- Ames, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 002218
- Practice address
- 1111 Duff Ave
Ames, IA 50010-5745 - Phone
- (515) 239-2155
- Fax
- (515) 239-2050
- NPI assigned
- Aug 8, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002218 | IA | Primary |
Addresses
Primary practice location
1111 Duff Ave
Ames, IA 50010-5745
Mailing address
2213 Grand Ave
Des Moines, IA 50312-5305
Phone (515) 237-3974
Other practice location 1
1540 High St
Suite 102
Des Moines, IA 50309-3106
Phone (515) 528-8186
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cholcomb95646@directmcfarlandclinic.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110829000692 | IA | Practitioner - Physician Assistant | 9739359860 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2425 Westown Pkwy
Suite 100
West Des Moines, IA 50266-1425
Phone (515) 991-6790
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002218 | IA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central States Medicine, PLLC | Current | Accepting new patients | |
| Des Moines Cardiology, PC | Past | Accepting new patients | |
| Linda Bratkiewicz Podiatry PLLC | Past | Accepting new patients | |
| West Des Moines Ambulatory Surgical Center LLC | Past | Accepting new patients |
Locations
1105 N Ankeny Blvd
Ste 101
Ankeny, IA 50023
Phone (515) 991-6790
2425 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 222-8346
2425 Westown Pkwy
Ste 100
West Des Moines, IA 50266
Phone (515) 222-8346
Interoperability endpoints
- https://api.platform.athenahealth.com/19382/brand/1/csg/1/fhir/r4
- cholcomb95646@directmcfarlandclinic.com
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.
-
- Interventional Pain Medicine Physician
- West Des Moines, IA
- NPI 1144646787
IA
-
- Cardiovascular Disease Physician
- Des Moines, IA
- NPI 1548551237
-
- Foot & Ankle Surgery Podiatrist
- Des Moines, IA
- NPI 1578189296
-
- Ambulatory Surgical Clinic/Center
- West Des Moines, IA
- NPI 1083638647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609200000000",
"number": "1972882033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2213 GRAND AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503125305",
"telephone_number": "515-237-3974",
"fax_number": "515-883-2692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 DUFF AVE",
"city": "AMES",
"state": "IA",
"postal_code": "500105745",
"telephone_number": "515-239-2155",
"fax_number": "515-239-2050"
}
],
"practiceLocations": [
{
"address_1": "1540 High St",
"address_2": "Suite 102",
"address_purpose": "LOCATION",
"city": "Des Moines",
"state": "IA",
"postal_code": "503093106",
"country_code": "US",
"telephone_number": "515-528-8186",
"fax_number": "515-528-8160",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLCOMB",
"first_name": "CHELSEY",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-08",
"last_updated": "2020-12-29",
"certification_date": "2020-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "002218",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cholcomb95646@directmcfarlandclinic.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1111 Duff Ave",
"city": "Ames",
"state": "IA",
"country_code": "US",
"postal_code": "500105745",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ames, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.