Individual provider Active NPI

Christine Bender, PA-C

  • Medical Physician Assistant
  • Cherry Tree, PA
National Provider Identifier
1295964906
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA053862 Issued in PA
Practice address
1555 Shawna Rd
Cherry Tree, PA 15724-9003
Phone
(814) 743-5449
Fax
(814) 743-6293
NPI assigned
Jul 2, 2009
Last updated
Dec 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA053862 PA Primary

Addresses

Primary practice location

1555 Shawna Rd
Cherry Tree, PA 15724-9003

Mailing address

100 Shenango Ave
PO Box 716
Sharon, PA 16146-1503
Phone (814) 743-5449

Other names 1

  • Christine Roos Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20090914000373 PA Practitioner - Physician Assistant 6103972351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vantage Physical Therapy and Rehabilitation IncGroup PAC ID 3072424886, 253 clinicians

Practice addresses (Care Compare)

336 Bloomfield St
Johnstown, PA 15904-3271
Phone (814) 269-2224

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Network CurrentSince Aug 17, 2009 Accepting new patients
Primary Health Network CurrentSince Aug 17, 2009 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1555 Shawna Rd
Cherry Tree, PA 15724
Phone (814) 743-5449

71 S Main St
Cherry Tree, PA 15724
Phone (814) 743-5449

2000 Green St
Farrell, PA 16121
Phone (724) 342-6600

100 Shenango Ave
Sharon, PA 16146
Phone (724) 704-8886

63 Pitt St
Sharon, PA 16146
Phone (724) 342-6604

Interoperability endpoints

  • Direct secure messaging: christinebender@primaryhn.medalliesdirect.net

Organizations & group practices 4

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 5

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": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1295964906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SHENANGO AVE",
            "address_2": "PO BOX 716",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161461503",
            "telephone_number": "814-743-5449",
            "fax_number": "814-743-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SHAWNA RD",
            "city": "CHERRY TREE",
            "state": "PA",
            "postal_code": "157249003",
            "telephone_number": "814-743-5449",
            "fax_number": "814-743-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "CHRISTINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-02",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA053862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "ROOS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cherry Tree, PA

Sources for this page

Verify at the official NPI Registry.