Individual provider Active NPI

Kelly Ann Christman, RPAC

  • Physician Assistant
  • Mount Kisco, NY
National Provider Identifier
1386643674
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
009010 Issued in NY
Practice address
185 Kisco Ave
Suite 300
Mount Kisco, NY 10549-1409
Phone
(914) 242-2020
Fax
(914) 242-0690
NPI assigned
Jul 19, 2005
Last updated
Mar 13, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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 009010 NY Primary
Medical Physician Assistant 363AM0700X 009010 NY

Addresses

Primary practice location

185 Kisco Ave
Suite 300
Mount Kisco, NY 10549-1409

Mailing address

190 Goldens Bridge Rd
Katonah, NY 10536-2810
Phone (914) 242-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20041014000077 NY Practitioner - Physician Assistant 6901866995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

185 Kisco Ave
Suite 300
Mount Kisco, NY 10549-1409
Phone (914) 242-2020

185 Kisco Ave
Suite 300
Mount Kisco, NY 10549-1411
Phone (914) 242-2020

750 White Plains Rd
Scarsdale, NY 10583-5002
Phone (914) 849-4300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
009010NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
White Plains Physician Services PC CurrentSince Apr 1, 2019 Accepting new patients

Locations

99 Business Park Dr
Armonk, NY 10504
Phone (914) 219-8515

620 E Boston Post Rd
Mamaroneck, NY 10543
Phone (914) 777-5437

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

700 White Plains Rd
Ste 34
Scarsdale, NY 10583
Phone (914) 472-7023

750 White Plains Rd
Scarsdale, NY 10583
Phone (914) 597-3880

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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 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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1386643674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 GOLDENS BRIDGE RD",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105362810",
            "telephone_number": "914-242-2020",
            "fax_number": "914-242-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 KISCO AVE",
            "address_2": "SUITE 300",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105491409",
            "telephone_number": "914-242-2020",
            "fax_number": "914-242-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTMAN",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "RPAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "009010",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "009010",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

Verify at the official NPI Registry.