Individual provider Active NPI

Christina Kaecker, P.A.

  • Physician Assistant
  • Flemington, NJ
National Provider Identifier
1457322000
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00124900 Issued in NJ
Practice address
111 Route 31
Flemington, NJ 08822-5795
Phone
(908) 284-9880
Fax
(908) 782-4316
NPI assigned
Jan 31, 2006
Last updated
Aug 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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 25MP00124900 NJ Primary

Addresses

Primary practice location

111 Route 31
Flemington, NJ 08822-5795

Mailing address

111 State Route 31 Ste 111
Flemington, NJ 08822-4953
Phone (908) 284-9880

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address christina.kaecker.p41@direct.hunterdon.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20171110001619 NJ Practitioner - Physician Assistant 8729344510 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
Hunterdon Family Physicians Inc.Group PAC ID 8729984257, 14 clinicians

Practice addresses (Care Compare)

111 State Route 31
Flemington, NJ 08822-4953
Phone (908) 284-9880

111 State RT
31 Suite 111
Flemington, NJ 08822-5772

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Whitehouse Station Family Medicine, P.a. Past Accepting new patients
Trihealth H LLC Physician Assistant PastSince Sep 8, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: christina.kaecker.p41@direct.hunterdon.nextgenshare.com

Organizations & group practices 3

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1457322000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 STATE ROUTE 31 STE 111",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224953",
            "telephone_number": "908-284-9880",
            "fax_number": "908-782-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ROUTE 31",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225795",
            "telephone_number": "908-284-9880",
            "fax_number": "908-782-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAECKER",
        "first_name": "CHRISTINA",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00124900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christina.kaecker.p41@direct.hunterdon.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "NEXTGEN EMR DIRECT ADDRESS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "111 Route 31",
            "city": "Flemington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088225795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

Verify at the official NPI Registry.