Active NPI
Christine Marie Daecher, D.O.
- Internal Medicine Physician
- Camp Hill, PA
National Provider Identifier
1417907007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS012988
- Practice address
- 2010 Market St
Camp Hill, PA 17011-4703 - Phone
- (717) 737-5544
- Fax
- (717) 214-6871
- NPI assigned
- May 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OS012988 | PA | Primary |
Addresses
Primary practice location
2010 Market St
Camp Hill, PA 17011-4703
Mailing address
2406 Logan St
Harrisburg, PA 17110-1916
Phone (717) 238-1010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1020195140001 | Medicaid | PA |
Other names 1
- Dr. Christine Marie Evansic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2026 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331856000000",
"number": "1417907007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2406 LOGAN ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171101916",
"telephone_number": "717-238-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 MARKET ST",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170114703",
"telephone_number": "717-737-5544",
"fax_number": "717-214-6871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAECHER",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2012-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS012988",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1020195140001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "EVANSIC",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Camp Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.