Christine M Halvorsen, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA3628 Issued in FL

Practice address

601 E Dixie Ave
Plaza 901
Leesburg, FL 34748-5953

Phone

(352) 728-2404

Fax

(352) 787-7401

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Physician Assistant

Education

University of Florida College of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Lake ENT and FPS, PAGroup PAC ID 1759380447, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Lake ENT & FPS, PA

  • Specialist
  • Leesburg, FL
  • NPI 1629091996
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1366466724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E DIXIE AVE",
            "address_2": "PLAZA 901",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485953",
            "telephone_number": "352-728-2404",
            "fax_number": "352-787-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E DIXIE AVE",
            "address_2": "PLAZA 901",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485953",
            "telephone_number": "352-728-2404",
            "fax_number": "352-787-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALVORSEN",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA3628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290462400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Kristine Hackerott, PTA
• Hannah Haefner
• Demara Hairston, LPTA
• Eric Allen Hall, DO
• Jamar Hall Sr.
• Amir Ali Hameedi, M.D.
• Hamilton R Fish MD
• Saralea Hammond, PA-C
• Maohao Han, MD
• Nicole D Hancock, DPM

• Physician Assistant in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.