Christine Masako Pratt, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PAD1110 Issued in AK

Practice address

880 East End Road
Homer, AK 99603-7400

Phone

(907) 226-2228

NPI assigned

Apr 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Christine Masako Kimura Former name

Medicare fee-for-service enrollment

Enrolled in TX, AK2 enrollments

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 2

Merit-based Incentive Payment System (MIPS)

Final score

70.59 of 100Reported as group

Quality

83.37

Promoting interoperability

100

Improvement activities

40

Cost

16.65

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: christine.pratt.1@14977.direct.athenahealth.com
• FHIR API: https://fhir-usa.unify.chbase.com/org/sphosp-0c203fcf

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.

• South Peninsula Hospital, Inc

  • Critical Access Hospital
  • Homer, AK
  • NPI 1093968372
  Medicare reassignment NPD
• Seldovia Village Tribe

  • Federally Qualified Health Center (FQHC)
  • Homer, AK
  • NPI 1336178847

  TX

  Medicare reassignment
• South Peninsula Hospital, Inc.

  • Critical Access Hospital
  • Homer, AK
  • NPI 1679566269
  Medicare reassignment
• South Peninsula Hospital, Inc

  • Home Health Agency
  • Homer, AK
  • NPI 1164400750
  NPD
• Hawaii Cardiology, Inc

  • Cardiovascular Disease Physician
  • Kamuela, HI
  • NPI 1821099144
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1174587323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3982 MULLIKIN ST",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037400",
            "telephone_number": "808-271-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 EAST END ROAD",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037400",
            "telephone_number": "907-226-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "CHRISTINE",
        "middle_name": "MASAKO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "HI",
            "license": "AMD-264",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "5194715-1206",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "PAD1110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "576150",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000256453",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "KIMURA",
            "middle_name": "MASAKO",
            "credential": "PA-C, MPAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Susan Jeanne Polis, DDS
• Anthony Porcarelli Markuson, MD
• Jennifer Poss
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• Jason D. Pretzel, LPC
• Preventive Dental Services, a Professional Corporation
• Prodigy Medical, LLC
• Lynn Marie Pura, NP

• Medical Physician Assistant in Homer, AK
• Providers in Homer, AK by specialty
• Medical Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.