Individual provider Active NPI

Chelsey Ann Holcomb, PA-C

  • Physician Assistant
  • Ames, IA
National Provider Identifier
1972882033
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002218 Issued in IA
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

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Central States Medicine PLLCGroup PAC ID 3173746435, 10 clinicians

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

LicenseStateTypeSpecialty
002218IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central States Medicine, PLLC CurrentSince Feb 1, 2024 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

  • FHIR API: https://api.platform.athenahealth.com/19382/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.