Individual provider Active NPI

Christa Persyn, MD

  • Family Medicine Physician
  • Saginaw, MI
National Provider Identifier
1376692632
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301084007 Issued in MI
Practice address
900 Cooper St
Saginaw, MI 48602
Phone
(989) 583-6521
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301084007 MI Primary

Addresses

Primary practice location

900 Cooper St
Saginaw, MI 48602

Mailing address

1447 N Harrison St
Saginaw, MI 48602-4727

Other identifiers 1

IdentifierTypeStateIssuer
0G31030OtherMIBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cpersynmd1460@direct.covenanthealthcare.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070926000645 MI Practitioner - Emergency Medicine 3375638083 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Wayne State University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Center, Inc.Group PAC ID 2769387778, 488 clinicians

Practice addresses (Care Compare)

900 Cooper Ave
Saginaw, MI 48602-5182
Phone (989) 583-6521

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Deckerville Community Hospital, Inc CurrentSince Jun 6, 2016 Accepting new patients
Hills & Dales General Hospital, Inc. Current Accepting new patients
Covenant Medical Center, Inc Family Medicine CurrentSince Aug 30, 2018 Accepting new patients
Covenant Medical Center, Inc. CurrentSince Aug 30, 2018 Accepting new patients
Deckerville Community Hospital, Inc. Family Medicine CurrentSince Jun 6, 2016 Accepting new patients

Locations

4675 Hill St
Cass City, MI 48726
Phone (989) 872-2121

3559 Pine St
Deckerville, MI 48427
Phone (810) 376-2835

2750 Main St
Ste 6
Marlette, MI 48453
Phone (810) 376-2885

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

900 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6122

Interoperability endpoints

  • Direct secure messaging: cpersynmd1460@direct.covenanthealthcare.com

Organizations & group practices 5

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 1

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": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1376692632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 N HARRISON ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COOPER ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48602",
            "telephone_number": "989-583-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSYN",
        "first_name": "CHRISTA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301084007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0G31030",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cpersynmd1460@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "900 Cooper St",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.