Christine Marie Pfaffel, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

COA 18509-NP Issued in OH

Practice address

6920 Lake Rd
Medina, OH 44256-8842

Phone

(330) 421-8533

Fax

(330) 721-4919

NPI assigned

Mar 2, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Medina Hospital

  • General Acute Care Hospital
  • Medina, OH
  • NPI 1083696710
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1508226606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 LAKE RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568842",
            "telephone_number": "330-421-8533",
            "fax_number": "330-721-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 LAKE RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442568842",
            "telephone_number": "330-421-8533",
            "fax_number": "330-721-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFAFFEL",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA 18509-NP",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "COA 18509-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Anne Petek
• Jason Peters
• Jessica Peters
• Amy Louise Petrill, LISW
• Allison Petty, LPCC
• Pfister Functional Medicine & Chiropractic LLC
• Anthony James Pfister, D.C., APRN, RN
• Charles Russell Pfister, DDS MS
• Anthony John Phillips, PT
• Joshua Phillips

• Adult Health Nurse Practitioner in Medina, OH
• Providers in Medina, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.