Individual provider Active NPI

Cristina Frances Gagnon, PA-C

  • Physician Assistant
  • Columbus, OH
National Provider Identifier
1528582335
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.006410RX Issued in OH
Practice address
2880 Stelzer Rd
Columbus, OH 43219-3133
Phone
(833) 620-1234
NPI assigned
Aug 2, 2017
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.009422 IL
Physician Assistant 363A00000X 10003993A IN
Physician Assistant 363A00000X 5601011449 MI
Physician Assistant 363A00000X 021326 NY
Physician Assistant 363A00000X MA064545 PA
Physician Assistant 363A00000X 7391-23 WI
Physician Assistant 363A00000X 50.006410RX OH Primary

Addresses

Primary practice location

2880 Stelzer Rd
Columbus, OH 43219-3133

Mailing address

2880 Stelzer Rd
Columbus, OH 43219-3133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX, OH, MI, IL, IN, PA7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20180911002855 NY Practitioner - Physician Assistant 1355691437 Reassigns benefits to 2 organizations
I20190924001598 TX Practitioner - Physician Assistant 1355691437 Reassigns benefits to 1 organization
I20201204002400 OH Practitioner - Physician Assistant 1355691437 Reassigns benefits to 1 organization
I20230103000112 MI Practitioner - Physician Assistant 1355691437 Reassigns benefits to 2 organizations
I20230222002168 IL Practitioner - Physician Assistant 1355691437 Reassigns benefits to 2 organizations
I20230509002175 IN Practitioner - Physician Assistant 1355691437 Reassigns benefits to 1 organization
I20230714001342 PA Practitioner - Physician Assistant 1355691437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

Practice addresses (Care Compare)

7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
021326NYMDClinical Psychologist
085.009422ILMDPhysician Assistant
10003993AINMDPhysician Assistant
MA064545PAMDPhysician Assistant
7391-23WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Jul 31, 2018 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Dec 28, 2022 Accepting new patients
Tanana Chiefs Conference CurrentSince Aug 5, 2019 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Nov 1, 2021 Accepting new patients
Hometown Urgent Care of Michigan, P.C. Current Accepting new patients
Wellnow Urgent Care, PC Past Accepting new patients

Locations

1717 W Cowles St
Fairbanks, AK 99701
Phone (907) 452-6682

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

3800 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 203-2051

123 S Franklin Rd
Bloomington, IN 47404
Phone (812) 339-2305

4903 S Emerson Ave
Indianapolis, IN 46203
Phone (317) 352-5582

1010 S Reed Rd
Kokomo, IN 46901
Phone (765) 252-2176

102 Sagamore Pkwy S
Lafayette, IN 47905
Phone (765) 237-3224

1313 W McGalliard Rd
Muncie, IN 47303
Phone (765) 216-3115

1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835

1438 Western Ave
Albany, NY 12203
Phone (518) 218-4220

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

300 Community Dr
Manhasset, NY 11030

2880 Stelzer Rd
Columbus, OH 43219
Phone (614) 472-2880

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

1301 W 1st St
Springfield, OH 45504
Phone (937) 271-0066

26 Bolivar Dr
Bradford, PA 16701
Phone (814) 817-4690

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1528582335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 STELZER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 STELZER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193133",
            "telephone_number": "833-620-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNON",
        "first_name": "CRISTINA",
        "middle_name": "FRANCES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.009422",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10003993A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601011449",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "021326",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA064545",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "7391-23",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006410RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.