Active NPI
Christopher L Mygatt, PA-C
- Physician Assistant
- Champaign, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085005747
- Practice address
- 2300 S 1St St
Champaign, IL 61820-7661 - Phone
- (217) 383-9400
- Fax
- (217) 383-9694
- NPI assigned
- May 28, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TX | ||
| Physician Assistant | 363A00000X | 8555 | AZ | |
| Physician Assistant | 363A00000X | 2023008003 | MO | |
| Physician Assistant | 363A00000X | 085005747 | IL | Primary |
Addresses
Primary practice location
2300 S 1St St
Champaign, IL 61820-7661
Mailing address
611 W Park St
Fapc
Urbana, IL 61801-2501
Phone (217) 902-6954
Other practice location 1
3050 E River Bluff Blvd
Ozark, MO 65721-8807
Phone (417) 820-5610
Other practice location 2
448 State Highway 248 Ste 180
Branson, MO 65616-3725
Phone (417) 820-5610
Other practice location 3
6320 N La Cholla Blvd Ste 200
Tucson, AZ 85741-3549
Phone (520) 382-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Nebraska College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2300 S 1St St
Champaign, IL 61820-7661
Phone (217) 383-9400
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
Hospital & facility affiliations
- Carle Foundation Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8555 | AZ | MD | Physician Assistant |
| 085005747 | IL | MD | Physician Assistant |
| 2023008003 | MO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Carle Health Care Incorporated | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Carle Health Care Incorporated | Past | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
1111 Trinity Ln
Ste 111
Bloomington, IL 61704
Phone (309) 663-6461
2300 S 1st St
Champaign, IL 61820
Phone (217) 383-9400
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
448 State Highway 248
Ste 180
Branson, MO 65616
Phone (417) 820-2064
3050 E River Bluff Blvd
Ozark, MO 65721
Phone (417) 820-5610
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115
Interoperability endpoints
- cmygattpa441067@carlehiedirect.net
- cmygatt@premierbonejc1834.srs-direct.com
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Rural Health Clinic/Center
- Lebanon, MO
- NPI 1770612590
-
- Durable Medical Equipment & Medical Supplies
- Champaign, IL
- NPI 1114240876
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Urbana, IL
- NPI 1013071653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749513600000",
"number": "1255710885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W PARK ST",
"address_2": "FAPC",
"city": "URBANA",
"state": "IL",
"postal_code": "618012501",
"telephone_number": "217-902-6954",
"fax_number": "217-902-7711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 S 1ST ST",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618207661",
"telephone_number": "217-383-9400",
"fax_number": "217-383-9694"
}
],
"practiceLocations": [
{
"address_1": "3050 E River Bluff Blvd",
"address_purpose": "LOCATION",
"city": "Ozark",
"state": "MO",
"postal_code": "657218807",
"country_code": "US",
"telephone_number": "417-820-5610",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "448 State Highway 248 Ste 180",
"address_purpose": "LOCATION",
"city": "Branson",
"state": "MO",
"postal_code": "656163725",
"country_code": "US",
"telephone_number": "417-820-5610",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6320 N La Cholla Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857413549",
"country_code": "US",
"telephone_number": "520-382-8200",
"fax_number": "520-297-3505",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYGATT",
"first_name": "CHRISTOPHER",
"middle_name": "L",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-28",
"last_updated": "2025-06-10",
"certification_date": "2025-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "8555",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2023008003",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085005747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.