NPIMap

Individual provider Active NPI

Ellie Jo Christenson, P.A.-C.

  • Medical Physician Assistant
  • New York, NY
National Provider Identifier
1518338557
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
019270 Issued in NY
Practice address
525 E 68TH St
New York, NY 10065-4870
Phone
(212) 746-0780
NPI assigned
Oct 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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 019270 NY Primary

Addresses

Primary practice location

525 E 68TH St
New York, NY 10065-4870

Mailing address

114 Rainbow LN
Wausau, WI 54401-7742
Phone (715) 574-4038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160210002025 NY Practitioner - Physician Assistant 5193029296 Reassigns benefits to 2 organizations
I20191001002183 MA Practitioner - Physician Assistant 5193029296 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

103 Garland St
Everett, MA 02149-5066
Phone (617) 389-6270

1493 Cambridge St
Cambridge, MA 02139-1047
Phone (617) 665-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019270NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Jan 1, 2023 Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince Feb 5, 2020 Accepting new patients
Martha's Vineyard Hospital, Inc. CurrentSince Jan 10, 2024 Accepting new patients
Cambridge Public Health Commission CurrentSince Sep 1, 2019 Accepting new patients
Mt Auburn Professional Services CurrentSince Jan 1, 2021 Accepting new patients
Cambridge Public Health Commission CurrentSince Sep 1, 2019 Accepting new patients
Martha's Vineyard Hospital Current Accepting new patients
New York University CurrentSince Jan 23, 2017 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Jan 1, 2023 Accepting new patients
Mass General Brigham Urgent Care LLC CurrentSince Feb 5, 2020 Accepting new patients
New York University CurrentSince Jan 23, 2017 Accepting new patients
Martha's Vineyard Hospital, Inc. CurrentSince Jan 10, 2024 Accepting new patients
Weill Medical College of Cornell Past Accepting new patients

Locations

1285 Beacon St
Brookline, MA 02446
Phone (617) 751-6205

103 Garland St
Everett, MA 02149
Phone (617) 381-7150

57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500

199 Reedsdale Rd
Milton, MA 02186
Phone (617) 313-1000

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

1 Hospital Rd
Oak Bluffs, MA 02557
Phone (508) 684-4500

230 Highland Ave
Somerville, MA 02143
Phone (617) 591-4350

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • Direct secure messaging: echristenson97692@direct.challiance.masshiway.net
  • FHIR API: https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4
  • Direct secure messaging: christenson.ellie.mvh@direct.partners.masshiway.net

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 3

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": "1444953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444953600000",
    "number": "1518338557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 RAINBOW LN",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544017742",
            "telephone_number": "715-574-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654870",
            "telephone_number": "212-746-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSON",
        "first_name": "ELLIE",
        "middle_name": "JO",
        "credential": "P.A.-C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "019270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.