Individual provider Active NPI

Christopher Pease, PA

  • Physician Assistant
  • Lockport, NY
National Provider Identifier
1427083245
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
010083-1 Issued in NY
Practice address
1149 Lincoln Ave
Lockport, NY 14094-6152
Phone
(716) 433-2674
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 010083-1 NY Primary

Addresses

Primary practice location

1149 Lincoln Ave
Lockport, NY 14094-6152

Mailing address

1149 Lincoln Ave
Lockport, NY 14094-6152
Phone (716) 433-2674

Other practice location 1

335 High St
Wilson, NY 14172-9667
Phone (716) 433-2674 ext. 4

Other identifiers 1

IdentifierTypeStateIssuer
000570494002OtherNYBLUE SHIELD

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
I20040921000099 NY Practitioner - Physician Assistant 5193793859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christopher E Beney MD PCGroup PAC ID 3173507639, 9 clinicians

Practice addresses (Care Compare)

1149 Lincoln Ave
Lockport, NY 14094-6152
Phone (716) 433-2674

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010083-1NYMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: cpease@drbeney.medentdirect.com

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 and National Provider Directory roles.

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1427083245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 LINCOLN AVE",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140946152",
            "telephone_number": "716-433-2674",
            "fax_number": "716-433-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 LINCOLN AVE",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140946152",
            "telephone_number": "716-433-2674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "335 High St",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NY",
            "postal_code": "141729667",
            "country_code": "US",
            "telephone_number": "716-433-2674 x4",
            "fax_number": "716-433-2677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEASE",
        "first_name": "CHRISTOPHER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "010083-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000570494002",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

Verify at the official NPI Registry.