Individual provider Active NPI

Chelsea Elwood, PA-C

  • Medical Physician Assistant
  • Terre Haute, IN
National Provider Identifier
1972952562
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
10002063A Issued in IN
Practice address
1530 N 7TH St Ste 109
Terre Haute, IN 47807
Phone
(812) 242-9631
Fax
(812) 242-9647
NPI assigned
Jun 6, 2016
Last updated
Jan 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 10002063A IN Primary

Addresses

Primary practice location

1530 N 7TH St Ste 109
Terre Haute, IN 47807

Mailing address

2723 S 7TH St Ste a
Terre Haute, IN 47802-3558
Phone (812) 238-1730

Other practice location 1

1214 E National Ave Ste 100
Brazil, IN 47834-2700
Phone (812) 442-2820

Other identifiers 1

IdentifierTypeStateIssuer
300005224MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20160729000307 IN Practitioner - Physician Assistant 8123311057 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1429 No 6TH St
Uap Medical Office Building
Terre Haute, IN 47807-1037
Phone (812) 232-0564

221 S 6 TH St
Apands Clinic Downtown
Terre Haute, IN 47807-4214
Phone (812) 232-0564

221 S 6TH St
Terre Haute, IN 47807-4214

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10002063AINMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Union Associated Physicians Clinic LLC CurrentSince Mar 6, 2022 Accepting new patients
Union Associated Physicians Clinic, LLC CurrentSince Mar 6, 2022 Accepting new patients

Locations

1214 E National Ave
Ste 100
Brazil, IN 47834
Phone (812) 442-2100

1429 N 6th St
Terre Haute, IN 47807
Phone (812) 242-3115

1530 N 7th St
Ste 109
Terre Haute, IN 47807
Phone (812) 242-9631

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3115

Organizations & group practices 3

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 2

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": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1972952562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 S 7TH ST STE A",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478023558",
            "telephone_number": "812-238-1730",
            "fax_number": "812-242-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 N 7TH ST STE 109",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "47807",
            "telephone_number": "812-242-9631",
            "fax_number": "812-242-9647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1214 E National Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Brazil",
            "state": "IN",
            "postal_code": "478342700",
            "country_code": "US",
            "telephone_number": "812-442-2820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELWOOD",
        "first_name": "CHELSEA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10002063A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300005224",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.