Christen Marie Pantarelli, PA-C

Individual provider Active NPI Physician Assistant · Camden, NJ

NPI 1477587160 · NPPES record last updated Mar 7, 2018

Key facts

NPI
1477587160
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
25MP00152600 (NJ)
Practice address
1 Cooper PLZ
Camden, NJ 08103-1461
Phone
(856) 342-2000
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Urgent Care PC (57 clinicians)

Practice addresses (Care Compare)

2001 Route 70 E
Cherry Hill, NJ 08003-1200
Phone (856) 874-0194

318 S White Horse Pike
Audubon, NJ 08106-1309
Phone (856) 874-0134

Merit-based Incentive Payment System (MIPS)

Final score
91.47 of 100 (group)
Quality
93.22
Promoting interoperability
99
Improvement activities
40
Cost
79.18

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20060301000497 NJ Practitioner - Physician Assistant 2163438011 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00152600NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
South Jersey Emergency Physicians, PA Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00152600 NJ Yes

Addresses

Primary practice location

1 Cooper PLZ
Camden, NJ 08103-1461

Mailing address

1 Federal St
Camden, NJ 08103-1088
Phone (856) 356-4924

Other providers in Camden, NJ

All providers in Camden, NJ · Physician Assistant in New Jersey

Sources for this page

Verify at the official NPI Registry.