NPIMap

Individual provider Active NPI

James Leroy Christensen, D.O.

  • Family Medicine Physician
  • Coffeyville, KS
National Provider Identifier
1447238688
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05-19197 Issued in KS
Practice address
209 W 7TH St
Coffeyville, KS 67337-4903
Phone
(620) 251-1100
Fax
(620) 251-7466
NPI assigned
Jan 6, 2006
Last updated
Jan 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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 05-19197 KS Primary

Addresses

Primary practice location

209 W 7TH St
Coffeyville, KS 67337-4903

Mailing address

PO Box 564
Coffeyville, KS 67337-0564
Phone (620) 251-1100

Other identifiers 1

IdentifierTypeStateIssuer
009707OtherKSBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050331000826 KS Practitioner - General Practice 8729035803 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Missouri, Kansas City, School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coffeyville Family Practice Clinic, P.a.Group PAC ID 2466405725, 2 clinicians

Practice addresses (Care Compare)

1400 W 4TH St
Coffeyville, KS 67337-3306
Phone 62025112001147

209 W 7TH St
Priority Healthcare of Coffeyville
Coffeyville, KS 67337-4954
Phone (620) 251-1100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.83 of 100Reported as group
Quality
81.24
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
42.96 of 100Reported as individual
Quality
50.82
Improvement activities
0
Cost
75.44

Merit-based Incentive Payment System (MIPS)

Final score
77.82 of 100Reported as group
Quality
69.28
Promoting interoperability
100
Improvement activities
40
Cost
56.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions12
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05-19197KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coffeyville Family Practice Clinic, P.a. Family Medicine CurrentSince Aug 1, 1981 Accepting new patients
Coffeyville Regional Medical Center Inc Current Accepting new patients
Coffeyville Regional Medical Center, Inc. CurrentSince Jan 1, 1997 Accepting new patients
Coffeyville Regional Medical Center, Inc Family Medicine CurrentSince Jan 1, 1997 Accepting new patients
Coffeyville Family Practice Clinic, P.a. CurrentSince Aug 1, 1981 Accepting new patients
Green Country Emergency Physicians Group of Tulsa PLLC CurrentSince Jan 1, 2015 Accepting new patients
ML-Op Coffeyville LLC Past Accepting new patients

Locations

1400 W 4th St
Coffeyville, KS 67337
Phone (620) 251-1200

209 W 7th St
Coffeyville, KS 67337
Phone (316) 251-1100

209 W 7th St
Ste 5
Coffeyville, KS 67337
Phone (620) 251-4790

Interoperability endpoints

  • Direct secure messaging: drc@direct.crmcinc.org
  • Direct secure messaging: james.christensen@khindirect.org
  • Direct secure messaging: provider@cfpc.azalea.phimailbox.com

Organizations & group practices 7

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 8

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": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1447238688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 564",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673370564",
            "telephone_number": "620-251-1100",
            "fax_number": "620-251-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W 7TH ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673374903",
            "telephone_number": "620-251-1100",
            "fax_number": "620-251-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "JAMES",
        "middle_name": "LEROY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-19197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "009707",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coffeyville, KS

Sources for this page

Verify at the official NPI Registry.