NPIMap

Individual provider Active NPI

Charles D Christie, P.A.

  • Physician Assistant
  • Holdrege, NE
National Provider Identifier
1083650790
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
765 Issued in NE
Practice address
516 W 14TH Ave
Ste 100
Holdrege, NE 68949-1216
Phone
(308) 995-4431
Fax
(308) 995-3247
NPI assigned
Jun 21, 2006
Last updated
Jun 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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 765 NE Primary

Addresses

Primary practice location

516 W 14TH Ave
Ste 100
Holdrege, NE 68949-1216

Mailing address

516 W 14TH Ave
Ste 100
Holdrege, NE 68949-1216
Phone (308) 995-4431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20100630000626 NE Practitioner - Physician Assistant 2860523156 Reassigns benefits to 1 organization

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
Holdrege Medical Clinic PCGroup PAC ID 2769372002, 10 clinicians

Practice addresses (Care Compare)

516 W 14TH Ave
Suite 100
Holdrege, NE 68949-1215
Phone (308) 995-4431

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.67 of 100Reported as group
Quality
100
Promoting interoperability
91
Improvement activities
40
Cost
59.74

Merit-based Incentive Payment System (MIPS)

Final score
92.2 of 100Reported as group
Quality
88.55
Promoting interoperability
95
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phelps Memorial Health Center Current Accepting new patients
Holdrege Medical Clinic, P.C. Past Accepting new patients
Christian Homes, Inc. Past Accepting new patients
Mosaic Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: charles.christie@nehiidirectmail.org
  • Direct secure messaging: charleschristie@hmcpc.allscriptsdirect.net
  • Direct secure messaging: charleschristie@pmhc.medalliesdirect.net

Organizations & group practices 5

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 8

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1083650790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 W 14TH AVE",
            "address_2": "STE 100",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689491216",
            "telephone_number": "308-995-4431",
            "fax_number": "308-995-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W 14TH AVE",
            "address_2": "STE 100",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689491216",
            "telephone_number": "308-995-4431",
            "fax_number": "308-995-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIE",
        "first_name": "CHARLES",
        "middle_name": "D",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holdrege, NE

Sources for this page

Verify at the official NPI Registry.