Individual provider Active NPI

Christina A Munn, P.A.

  • Medical Physician Assistant
  • Shelby Township, MI
National Provider Identifier
1285673301
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601004778 Issued in MI
Practice address
52935 Mound Rd Ste B
Shelby Township, MI 48316-3266
Phone
(586) 709-5271
NPI assigned
Jun 5, 2006
Last updated
Apr 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601004778 MI
Medical Physician Assistant 363AM0700X 5601004778 MI Primary

Addresses

Primary practice location

52935 Mound Rd Ste B
Shelby Township, MI 48316-3266

Mailing address

11256 Orchard Hill Dr
Bruce TWP, MI 48065-4397
Phone (586) 709-5271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20060814000086 MI Practitioner - Physician Assistant 4981607918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wayne State University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrative Family Care PLLCGroup PAC ID 5890028336, 7 clinicians

Practice addresses (Care Compare)

3950 S Rochester Rd
Suite 1200
Rochester Hills, MI 48307-5169
Phone (586) 210-3200

Hospital & facility affiliations

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: cmunn847311@direct.hfhs.org
  • Direct secure messaging: christina.munn.1@19637.direct.athenahealth.com

Organizations & group practices 1

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1285673301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11256 ORCHARD HILL DR",
            "city": "BRUCE TWP",
            "state": "MI",
            "postal_code": "480654397",
            "telephone_number": "586-709-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52935 MOUND RD STE B",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483163266",
            "telephone_number": "586-709-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNN",
        "first_name": "CHRISTINA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004778",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601004778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

Verify at the official NPI Registry.