NPIMap

Individual provider Active NPI

Christy Joy Alexander, P.A.-C

  • Medical Physician Assistant
  • Traverse City, MI
National Provider Identifier
1508854035
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601002800 Issued in MI
Practice address
647 E Eighth St
Traverse City, MI 49686-2630
Phone
(231) 922-0400
Fax
(855) 586-8399
NPI assigned
Oct 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601002800 MI Primary

Addresses

Primary practice location

647 E Eighth St
Traverse City, MI 49686-2630

Mailing address

3074 N US 31 S
Traverse City, MI 49684-4533
Phone (231) 935-0913

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address christy.alexander@brook.eclinicaldirectplus.com Direct Brookside Family Medicine A Center for Health and Well-Being PLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050124000134 MI Practitioner - Physician Assistant 4688624109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brookside Family Medicine a Center for Health and Well-Being PLCGroup PAC ID 1658326558, 4 clinicians
Great Lakes Therapy Housecalls PCGroup PAC ID 7719876580, 71 clinicians

Practice addresses (Care Compare)

647 E 8TH St
Traverse City, MI 49686-2630
Phone (231) 922-0400

9731 E Cherry Bend Rd
Traverse City, MI 49684-7621
Phone (231) 941-8100

Hospital & facility affiliations

  • Munson Medical Center Hospital, Traverse City, MI, CCN 230097
  • Paul Oliver Memorial Hospital Hospital, Frankfort, MI, CCN 231300
  • Kalkaska Memorial Health Center Hospital, Kalkaska, MI, CCN 231301
  • Munson Healthcare Cadillac Hospital Hospital, Cadillac, MI, CCN 230081

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Debra Graetz MD PLC CurrentSince Feb 18, 2024 Accepting new patients

Locations

872 Munson Ave
Ste D
Traverse City, MI 49686
Phone (231) 922-0400

647 E Eighth St
Traverse City, MI 49686
Phone (231) 922-0400

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.

Hospital & facility affiliations 5

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1508854035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3074 N US 31 S",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844533",
            "telephone_number": "231-935-0913",
            "fax_number": "231-935-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 E EIGHTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862630",
            "telephone_number": "231-922-0400",
            "fax_number": "855-586-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "CHRISTY",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601002800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christy.alexander@brook.eclinicaldirectplus.com",
            "affiliation": "Y",
            "endpointDescription": "BFM ECW P2P",
            "affiliationName": "Brookside Family Medicine A Center for Health and Well-Being PLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "647 E Eighth St",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496862630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.