Individual provider Active NPI

Christophe Vistelle, PA-C

  • Physician Assistant
  • Gainesville, FL
National Provider Identifier
1487352464
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
6716 NW 11TH PL Ste 200
Gainesville, FL 32605-4201
Phone
(352) 331-9729
Fax
(352) 331-0137
NPI assigned
Feb 20, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

6716 NW 11TH PL Ste 200
Gainesville, FL 32605-4201

Mailing address

10625 W North Ave Ste 101B
Wauwatosa, WI 53226-2315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250422002023 FL Practitioner - Physician Assistant 4688029937 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors Radiology Group of Gainesville LLCGroup PAC ID 4789692328, 33 clinicians
Doctors Imaging Group LLCGroup PAC ID 3476457862, 24 clinicians

Practice addresses (Care Compare)

340 NW Commerce Dr
Lake City, FL 32055-4709
Phone (386) 719-9000

6121 Saint Johns Ave
Palatka, FL 32177-3889
Phone (386) 326-0077

6500 W Newberry Rd
Gainesville, FL 32605-4309
Phone (352) 333-4000

6685 NW 9TH Blvd
Gainesville, FL 32605-4206
Phone (352) 333-7847

6716 NW 11TH PL
Suite 200
Gainesville, FL 32605-4201
Phone (352) 331-9729

Hospital & facility affiliations

National Provider Directory

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

Organizations & group practices 2

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 2

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": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1487352464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10625 W NORTH AVE STE 101B",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6716 NW 11TH PL STE 200",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054201",
            "telephone_number": "352-331-9729",
            "fax_number": "352-331-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISTELLE",
        "first_name": "CHRISTOPHE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-20",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.