Individual provider Active NPI

Christina Jo Shaffer, PA-C

  • Medical Physician Assistant
  • Nashua, NH
National Provider Identifier
1598281305
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1298 Issued in NH
Practice address
460 Amherst St
Nashua, NH 03063-1220
Phone
(603) 883-7970
Fax
(603) 595-3652
NPI assigned
Aug 15, 2017
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA6227 MA
Physician Assistant 363A00000X 1298 NH
Medical Physician Assistant 363AM0700X 1298 NH Primary

Addresses

Primary practice location

460 Amherst St
Nashua, NH 03063-1220

Mailing address

460 Amherst St
Nashua, NH 03063-1220
Phone (603) 883-7970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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

Enrollment IDStateProvider typePAC IDDetails
I20230404000323 NH Practitioner - Physician Assistant 9335400142 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
St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians

Practice addresses (Care Compare)

166 Kinsley St
Nashua, NH 03060-3676

172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 884-5600

460 Amherst St
Nashua, NH 03063-1255
Phone (603) 883-7970

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1298NHMDAthletic Trainer
PA6227MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern New Hampshire Internal Medicine Associates, PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: christinashaffer@snhima.allscriptsdirect.net
  • Direct secure messaging: cshaffer1863074@direct.bsmhealth.org

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1598281305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 AMHERST ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631220",
            "telephone_number": "603-883-7970",
            "fax_number": "603-595-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 AMHERST ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631220",
            "telephone_number": "603-883-7970",
            "fax_number": "603-595-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "CHRISTINA",
        "middle_name": "JO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA6227",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "1298",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NH",
            "license": "1298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.