Individual provider Active NPI

Eric Clayton Christensen, M.D.

  • Internal Medicine Physician
  • Prescott, AZ
National Provider Identifier
1134577810
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
64482 Issued in AZ
Practice address
2971 Willow Creek Rd BLDG 34
Prescott, AZ 86301-4142
Phone
(928) 277-8088
Fax
(928) 460-5280
NPI assigned
Jun 2, 2016
Last updated
Mar 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X MD193733 OR
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 64482 AZ Primary

Addresses

Primary practice location

2971 Willow Creek Rd BLDG 34
Prescott, AZ 86301-4142

Mailing address

3815 E Bell Rd Ste 4500
Phoenix, AZ 85032-2171
Phone (602) 633-3848

Other practice location 1

8200 Walnut Hill Ln
Dallas, TX 75231-4426
Phone (214) 345-6176

Other practice location 2

3299 Hilyard St
Eugene, OR 97405
Phone (541) 222-8620

Other practice location 3

8200 Walnut Hill Ln
Dallas, TX 75231-4426
Phone (214) 345-6176

Other practice location 4

1200 Hilyard St Ste 230
Eugene, OR 97401-8122
Phone (458) 205-6011

Other practice location 5

2286 Crosswind Dr Ste C
Prescott, AZ 86301-6100
Phone (928) 208-4598

Other identifiers 2

IdentifierTypeStateIssuer
Q00214136OtherAZRAILROAD MEDICARE
107409MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220201000749 AZ Practitioner - Internal Medicine 6800228396 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Creighton University School of Medicine
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2971 Willow Creek Rd
BLDG 3 and 4
Prescott, AZ 86301-4142
Phone (928) 277-8088

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
64482AZMDInternal Medicine Physician
MD193733ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Arizona, LLC Single Specialty CurrentSince Jan 29, 2025 Accepting new patients
Raghav LLC Single Specialty CurrentSince Jan 2, 2022 Accepting new patients
Privia Medical Group Arizona, LLC Single Specialty CurrentSince Jan 29, 2025 Accepting new patients
Prescott Healthcare Solutions LLC Single Specialty CurrentSince Mar 5, 2025 Accepting new patients
Privia Medical Group Arizona, LLC Single Specialty Past Accepting new patients

Locations

14415 W McDowell Rd
Ste D102
Goodyear, AZ 85395
Phone (623) 512-4190

111 W Cedar Ln
Ste A
Payson, AZ 85541
Phone (928) 472-4675

1301 S 7th Ave
Ste 400
Phoenix, AZ 85007
Phone (602) 824-3358

3815 E Bell Rd
Ste 4500
Phoenix, AZ 85032
Phone (602) 633-3838

2286 Crosswind Dr
Ste C
Prescott, AZ 86301
Phone (623) 227-1000

2971 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 759-5900

2971 Willow Creek Rd
Bldg 3
Prescott, AZ 86301
Phone (928) 277-8088

2971 Willow Creek Rd
Bldg 34
Prescott, AZ 86301
Phone (928) 277-8088

2971 Willow Creek Rd
Ste 34
Prescott, AZ 86301

3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583

3251 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 772-2582

12361 W Bola Dr
Surprise, AZ 85378
Phone (623) 584-5626

12361 W Bola Dr
Ste 109
Surprise, AZ 85378
Phone (623) 227-1000

1001 E Hebron Pkwy
Ste 118347
Carrollton, TX 75010

Interoperability endpoints

  • Direct secure messaging: eric.christensen.2@33227.direct.athenahealth.com

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 7

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": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1134577810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD STE 4500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322171",
            "telephone_number": "602-633-3848",
            "fax_number": "602-633-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2971 WILLOW CREEK RD BLDG 34",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863014142",
            "telephone_number": "928-277-8088",
            "fax_number": "928-460-5280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8200 Walnut Hill Ln",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752314426",
            "country_code": "US",
            "telephone_number": "214-345-6176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3299 Hilyard St",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "97405",
            "country_code": "US",
            "telephone_number": "541-222-8620",
            "fax_number": "541-222-8652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8200 Walnut Hill Ln",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752314426",
            "country_code": "US",
            "telephone_number": "214-345-6176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Hilyard St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974018122",
            "country_code": "US",
            "telephone_number": "458-205-6011",
            "fax_number": "458-205-6071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2286 Crosswind Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863016100",
            "country_code": "US",
            "telephone_number": "928-208-4598",
            "fax_number": "623-227-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "ERIC",
        "middle_name": "CLAYTON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-02",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD193733",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "64482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "Q00214136",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107409",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.