Active NPI
Christina Nicole Broomell, PA-C
- Physician Assistant
- Lancaster, PA
National Provider Identifier
1508044041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0003676
- Practice address
- 1605 Wilson Ave
Lancaster, PA 17603-4522 - Phone
- (443) 722-3736
- NPI assigned
- Feb 6, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0003676 | MD | Primary |
Addresses
Primary practice location
1605 Wilson Ave
Lancaster, PA 17603-4522
Mailing address
1605 Wilson Ave
Lancaster, PA 17603-4522
Phone (443) 722-3736
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508044041 | Medicaid | MD |
Other names 1
- Ms. Christina Nicole Sollerer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2025 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Inpatient Care Specialists LLC | Past | Accepting new patients |
Interoperability endpoints
- christina.broomell@19320510742532.direct.elationemr.com
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Annapolis, MD
- NPI 1255417200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665964800000",
"number": "1508044041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 WILSON AVE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176034522",
"telephone_number": "443-722-3736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 WILSON AVE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176034522",
"telephone_number": "443-722-3736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOMELL",
"first_name": "CHRISTINA",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-06",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0003676",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508044041",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "SOLLERER",
"middle_name": "NICOLE",
"prefix": "MS.",
"credential": "P.A.-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.