Esmeralda Christopher, PA-C
Individual provider Active NPI Physician Assistant · Derby, CT
NPI 1497429559 · NPPES record last updated Feb 24, 2023
Key facts
- NPI
- 1497429559
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5991 (CT)
- Practice address
- 130 Division St
Derby, CT 06418-1326 - Phone
- (203) 732-1330
- Fax
- (203) 732-1332
- NPI assigned
- Aug 3, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Griffin Faculty Physicians Inc
Practice addresses (Care Compare)
130 Division St
Derby, CT 06418-1326
Phone (203) 732-1352
Hospital & facility affiliations
- Griffin Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 0
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230306001772 | CT | Practitioner - Physician Assistant | 7911370390 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5991 | CT | MD | Surgical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Surgical Physician Assistant | 363AS0400X | |||
| Surgical Physician Assistant | 363AS0400X | 5991 | CT | |
| Physician Assistant | 363A00000X | 5991 | CT | Yes |
Addresses
Primary practice location
130 Division St
Derby, CT 06418-1326
Mailing address
67 Maple Ave
Derby, CT 06418-1328
Other providers in Derby, CT
- Ahtsham Yousaf Chaudhary
- Julien Chedid
- Courtney Adair Chenault
- Sybil Cheng
- Clarice Jaclyn Choi
- Julianne Cioffi-Smith
- James Cliffe
- Matthew E Cohen
- Brianne Colonna
- Comprehensive Pain and Headache Treatment Centers, LLC
All providers in Derby, CT · Physician Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.