Individual provider Active NPI

Christine Brown Shevock, PA-C

  • Physician Assistant
  • Suffolk, VA
National Provider Identifier
1477074755
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110-005818 Issued in VA
Practice address
5839 Harbour View Blvd Ste 200
Suffolk, VA 23435-3315
Phone
(757) 483-6100
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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 0110-005818 VA Primary

Addresses

Primary practice location

5839 Harbour View Blvd Ste 200
Suffolk, VA 23435-3315

Mailing address

5839 Harbour View Blvd
Suite 200
Suffolk, VA 23435-3743
Phone (757) 483-6100

Other identifiers 2

IdentifierTypeStateIssuer
1143083OtherNCCPA
0110-005818OtherVAVIRGINIA BOARD OF MEDICINE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20170918001572 VA Practitioner - Physician Assistant 6901170703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Digestive Care LLCGroup PAC ID 3870669419, 241 clinicians

Practice addresses (Care Compare)

113 Gainsborough SQ
Suite 101
Chesapeake, VA 23320-1713
Phone (757) 436-3285

3009 Corporate LN
Suite 220
Suffolk, VA 23434-9344
Phone (757) 483-6100

Hospital & facility affiliations

  • Bon Secours Maryview Medical Center Hospital, Portsmouth, VA, CCN 490017
  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
  • Bon Secours Harbour View Medical Center Hospital, Suffolk, VA, CCN 490148
  • Bon Secours Southampton Memorial Hospital Hospital, Franklin, VA, CCN 490092

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110-005818VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Digestive Care, LLC CurrentSince Dec 16, 2021 Accepting new patients
Capital Digestive Care, LLC CurrentSince Dec 16, 2021 Accepting new patients
Capital Digestive Care ,LLC Past Accepting new patients

Locations

2000 Pennsylvania Ave NW
Ste 3010
Washington, DC 20006
Phone (202) 296-3449

5550 Friendship Blvd
Ste T90
Chevy Chase, MD 20815
Phone (301) 654-2521

5500 Knoll North Dr
Ste 460
Columbia, MD 21045
Phone (410) 730-9363

3280 Urbana Pike
Ste 101
Ijamsville, MD 21754
Phone (301) 810-5252

7350 Van Dusen Rd
Ste 410
Laurel, MD 20707
Phone (301) 498-5500

7350 Van Dusen Rd
Ste 210
Laurel, MD 20707
Phone (301) 395-5500

3415 Olandwood Ct
Ste 101
Olney, MD 20832
Phone (301) 340-3252

125 Potomac Psge
Ste 250
Oxon Hill, MD 20745
Phone (240) 238-0067

6100 Executive Blvd
Ste 301
Rockville, MD 20852

9711 Medical Center Dr
Ste 308
Rockville, MD 20850
Phone (301) 251-0015

15001 Shady Grove Rd
Ste 300
Rockville, MD 20850
Phone (301) 340-3252

11921 Bournefield Way
Ste 100
Silver Spring, MD 20904
Phone (240) 737-0080

113 Gainsborough Sq
Ste 101
Chesapeake, VA 23320
Phone (757) 436-3285

3009 Corporate Ln
Ste 220
Suffolk, VA 23434
Phone 7574836100 ext. 208

5839 Harbour View Blvd
Ste 200
Suffolk, VA 23435
Phone (757) 483-6100

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 and National Provider Directory roles.

Hospital & facility affiliations 12

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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1477074755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5839 HARBOUR VIEW BLVD",
            "address_2": "SUITE 200",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353743",
            "telephone_number": "757-483-6100",
            "fax_number": "757-483-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5839 HARBOUR VIEW BLVD STE 200",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353315",
            "telephone_number": "757-483-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEVOCK",
        "first_name": "CHRISTINE",
        "middle_name": "BROWN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-005818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1143083",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA BOARD OF MEDICINE",
            "identifier": "0110-005818",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.