NPIMap

Individual provider Active NPI

Christopher C Stephenson, PA-C

  • Physician Assistant
  • Muncie, IN
National Provider Identifier
1063411098
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10000433A Issued in IN
Practice address
2401 W University Ave
Muncie, IN 47303-3428
Phone
(260) 969-1950
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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 10000433A IN Primary

Addresses

Primary practice location

2401 W University Ave
Muncie, IN 47303-3428

Mailing address

5633 Reliable Pkwy
Chicago, IL 60686-0056
Phone (260) 969-1950

Other identifiers 2

IdentifierTypeStateIssuer
000000340097OtherINBLUE CROSS/BLUE SHIELD
P00180423OtherINRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050419000263 IN Practitioner - Physician Assistant 4587602842 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Open Door Health Services IncGroup PAC ID 5890696603, 40 clinicians
My Mobile MD LLCGroup PAC ID 1052617826, 27 clinicians
My Mobile MD Indiana LLCGroup PAC ID 9830607605, 29 clinicians

Practice addresses (Care Compare)

1651 E 29TH St
Open Door Urgent Care
Muncie, IN 47302-5886
Phone (765) 747-1164

333 S Madison St
Muncie, IN 47305-2465
Phone 76528670004235

429 E Vermont St
Suite 110
Indianapolis, IN 46202-3685
Phone (317) 559-0950

Hospital & facility affiliations

  • Heritage Home Health Services Home health agency, Greenwood, IN, CCN 157090
  • Margaret Mary Community Hospital Inc Hospital, Batesville, IN, CCN 151329

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10000433AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Open Door Health Services, Inc. CurrentSince May 4, 2010 Accepting new patients
My Mobile MD Indiana LLC CurrentSince Dec 30, 2025 Accepting new patients
Open Door Health Services, Inc. CurrentSince May 4, 2010 Accepting new patients
My Mobile MD LLC CurrentSince Sep 22, 2025 Accepting new patients
Emergency Physicians of Delaware County, P.C. Past Accepting new patients
Open Door Health Services, Inc. Past Accepting new patients
Emgi-Ball, LLC Past Accepting new patients
Icem-Ball, LLC Past Accepting new patients
Open Door Health Services, Inc. Past Accepting new patients
Open Door Health Services, Inc. Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

429 E Vermont St
Ste 110
Indianapolis, IN 46202
Phone (317) 536-2290

333 S Madison St
Muncie, IN 47305
Phone (765) 287-3087

1651 E 29th St
Muncie, IN 47302
Phone (765) 747-1164

Interoperability endpoints

  • Direct secure messaging: christopher.stephenson.1@10844.direct.athenahealth.com

Organizations & group practices 11

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.

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1063411098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5633 RELIABLE PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606860056",
            "telephone_number": "260-969-1950",
            "fax_number": "260-918-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W UNIVERSITY AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033428",
            "telephone_number": "260-969-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000433A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "000000340097",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00180423",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.