Christine Christensen

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

55771 Issued in ID

Practice address

124 N 1075 W
Blackfoot, ID 83221-6402

Phone

(307) 248-1580

NPI assigned

Mar 1, 2023

Sex

Female

Sole proprietor

Yes

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.

• Cardiovascular Specialists of America, LLC

  • Clinical Cardiac Electrophysiology Physician
  • Pocatello, ID
  • NPI 1871190215

  ID

  Medicare reassignment Care Compare group NPD
• Greater Good Health PC, Inc.

  • Primary Care Clinic/Center
  • Ammon, ID
  • NPI 1033095914

  ID

  Medicare reassignment NPD
• Santibanez Pac Idaho

  • Geriatric Medicine (Internal Medicine) Physician
  • Idaho Falls, ID
  • NPI 1346015948

  ID, Nurse Practitioner

  Medicare reassignment NPD
• Utah Regional Hospitalists LLC

  • Hospitalist Physician
  • Idaho Falls, ID
  • NPI 1740715507

  ID

  Medicare reassignment NPD
• Utah Regional Hospitalists LLC

  • Hospitalist Physician
  • Murray, UT
  • NPI 1962821223
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pocatello Hospital LLC

  • Rehabilitation Hospital Unit
  • Pocatello, ID
  • NPI 1144262114

  Hospital

  Care Compare affiliation
• Pocatello Hospital LLC

  • General Acute Care Hospital
  • Pocatello, ID
  • NPI 1790751055

  Hospital

  Care Compare affiliation
• Power County Hospital District

  • Critical Access Hospital
  • American Falls, ID
  • NPI 1609874932

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardiovascular Specialists of America LLC 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Portneuf Medical Center Hospital, Pocatello, ID, CCN 130028
• Power County Hospital District Hospital, American Falls, ID, CCN 131304

Medicare fee-for-service enrollment

Enrolled in ID

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 1, 2023.

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1558060202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N 1075 W",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832216402",
            "telephone_number": "307-248-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N 1075 W",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832216402",
            "telephone_number": "307-248-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "CHRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "55771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Haley Carl, ATC, LAT
• Darcey Lynn Carr, COTA
• Brian Carrigan, MD
• Childrens Supportive Services Incorporated
• Childrens Supportive Services Incorporated
• City of Blackfoot
• City of Blackfoot
• Jacob Clawson, MD
• Shanna Clayson, LSW
• Steven J Clinger, MD

• All providers in Blackfoot, ID
• Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.