Alisa-Ann Christensen, D.O.
Individual provider Active NPI Family Medicine Physician · Crittenden, KY
NPI 1013276641 · NPPES record last updated Jul 22, 2021
Key facts
- NPI
- 1013276641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 03877 (KY)
- Practice address
- 520 Violet Rd
Crittenden, KY 41030 - Phone
- (859) 428-1610
- Fax
- (859) 428-3923
- NPI assigned
- May 16, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 11
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Summit Medical Group Inc
Practice addresses (Care Compare)
300 Barnes Rd
Williamstown, KY 41097-9483
Phone (859) 824-8400
405 Violet Rd
Crittenden, KY 41030-8956
Phone (859) 301-5901
PO Box
Suite 635283
Cincinnati, OH 45263-5283
Hospital & facility affiliations
- St Elizabeth Edgewood
- St Elizabeth Grant
- St Elizabeth Florence
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150901002528 | KY | Practitioner - Family Practice | 0042526345 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03877 | KY | MD | Family Medicine Physician |
| 5101019772 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc | Family Medicine | Current |
Accepting new patients |
| Summit Medical Group, Inc. | Current |
Accepting new patients |
Locations
334 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (859) 331-6065
405 Violet Rd
Crittenden, KY 41030
Phone (859) 428-1610
520 Violet Rd
Crittenden, KY 41030
Phone (606) 428-1114
1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
Interoperability endpoints
- achristensen184052@direct-prd.stelizabeth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101019772 | MI | |
| Family Medicine Physician | 207Q00000X | 03877 | KY | Yes |
Addresses
Primary practice location
520 Violet Rd
Crittenden, KY 41030
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 428-1610
Other names
- Alisa-Ann Hiilei Hyun
Other providers in Crittenden, KY
- Lisa Arehart
- Broadleaf Behavioral Services LLC
- Seth Christian Carmichael
- Norman A Case
- Terry William Case
- Cincinnati Healthcare Group PSC, Dba Patient First Physicians Group
- Sandra Lynn Colston
- Christopher Duckworth
- Suzanne Michelle Fernbach
- Richard Flesch
All providers in Crittenden, KY · Family Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.