Individual provider Active NPI

Christine T Longoria, PA-C

  • Physician Assistant
  • Madison, WI
National Provider Identifier
1235187436
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1605-23 Issued in WI
Practice address
2501 W Beltline Hwy Ste 601
Madison, WI 53713-2309
Phone
(608) 234-7436
Fax
(866) 939-2673
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 1605-023 WI
Physician Assistant 363A00000X 1605-23 WI Primary
Medical Physician Assistant 363AM0700X 1605-023 WI

Addresses

Primary practice location

2501 W Beltline Hwy Ste 601
Madison, WI 53713-2309

Mailing address

18444 N 25TH Ave Ste 310
Phoenix, AZ 85023-1266
Phone (623) 434-2115

Other practice location 1

123 Hospital Dr Ste 1008
Watertown, WI 53098-3320
Phone (920) 206-6500

Other identifiers 1

IdentifierTypeStateIssuer
41978300MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address clongoria258894@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050329000913 WI Practitioner - Physician Assistant 6406802800 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beloit Health System IncGroup PAC ID 8224947858, 138 clinicians
Upland Hills Health IncGroup PAC ID 3072415553, 97 clinicians

Practice addresses (Care Compare)

1735 Madison Rd
Beloit, WI 53511-3216
Phone (608) 363-7510

1905 E Huebbe Pkwy
Beloit, WI 53511-1842
Phone (608) 363-5000

1905 W Hart Rd
Beloit, WI 53511-2230
Phone (608) 364-2200

1969 W Hart Rd
Beloit, WI 53511-2230
Phone (608) 364-5756

2501 W Beltline Hwy
Suite 601
Madison, WI 53713-2309
Phone (608) 234-7436

551 Main St
Highland, WI 53543-9779
Phone (608) 929-4518

800 Compassion Way
Dodgeville, WI 53533-1956
Phone (609) 930-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.38 of 100Reported as group
Quality
75.94
Promoting interoperability
89
Improvement activities
40
Cost
74.5

Merit-based Incentive Payment System (MIPS)

Final score
91.64 of 100Reported as group
Quality
97.3
Promoting interoperability
100
Improvement activities
40
Cost
74.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1605-023WIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Beloit Clinic, S.C. Current Accepting new patients
Edgerton Hospital and Health Services Inc. CurrentSince Oct 1, 2025 Accepting new patients
Orthopedic & Spine Centers of Wisconsin, SC. CurrentSince Aug 1, 2023 Accepting new patients
Edgerton Hospital and Health Services, Inc CurrentSince Oct 1, 2025 Accepting new patients
Beloit Health System, Inc CurrentSince Oct 7, 2024 Accepting new patients
Beloit Health System Inc CurrentSince Oct 7, 2024 Accepting new patients
Watertown Physician Practices LLC Physician Assistant CurrentSince Jan 21, 2024 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Watertown Physician Practices LLC Physician Assistant CurrentSince Jan 21, 2024 Accepting new patients
Upland Hills Health, Inc CurrentSince Feb 10, 2024 Accepting new patients
Beloit Health System, Inc Past Accepting new patients

Locations

1905 E Huebbe Pkwy
Beloit, WI 53511
Phone (608) 364-2293

1735 Madison Rd
Beloit, WI 53511
Phone (608) 363-7510

1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011

800 Compassion Way
Dodgeville, WI 53533
Phone (608) 930-7200

11101 N Sherman Rd
Edgerton, WI 53534
Phone (608) 884-1695

2501 W Beltline Hwy
Ste 601
Madison, WI 53713
Phone (608) 234-7436

1507 Doctors Ct
Watertown, WI 53094
Phone (920) 261-4111

123 Hospital Dr
Ste 1008
Watertown, WI 53098
Phone (920) 206-6500

125 Hospital Dr
Watertown, WI 53098
Phone (920) 261-4210

Interoperability endpoints

  • Direct secure messaging: clongoria991202@direct.unitypoint.org
  • Direct secure messaging: christine.longoria.1@22724.direct.athenahealth.com

Organizations & group practices 12

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 11

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1235187436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18444 N 25TH AVE STE 310",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850231266",
            "telephone_number": "623-434-2115",
            "fax_number": "623-544-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W BELTLINE HWY STE 601",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537132309",
            "telephone_number": "608-234-7436",
            "fax_number": "866-939-2673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Hospital Dr Ste 1008",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "WI",
            "postal_code": "530983320",
            "country_code": "US",
            "telephone_number": "920-206-6500",
            "fax_number": "920-261-4013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONGORIA",
        "first_name": "CHRISTINE",
        "middle_name": "T",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WI",
            "license": "1605-023",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "1605-23",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "1605-023",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41978300",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clongoria258894@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "clongoria258894@direct-ehr-ssmhc.com",
            "address_1": "1211 Fish Hatchery Rd.",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1211 Fish Hatchery Rd.",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.