NPIMap

Individual provider Active NPI

Christina Monique Desanto, PA-C

  • Physician Assistant
  • Annville, PA
National Provider Identifier
1598355455
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA061955 Issued in PA
Practice address
1251 E Main St
Annville, PA 17003-1643
Phone
(717) 867-4671
Fax
(717) 867-4981
NPI assigned
Jan 24, 2021
Last updated
Apr 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00602000 NJ
Physician Assistant 363A00000X MA061955 PA Primary

Addresses

Primary practice location

1251 E Main St
Annville, PA 17003-1643

Mailing address

1251 E Main St
Annville, PA 17003-1643
Phone (717) 867-4671

Other practice location 1

941 White Horse Ave Ste 5
Trenton, NJ 08610-1407
Phone (609) 581-9100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cdesanto216892@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20220120000187 PA Practitioner - Physician Assistant 9032501291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

1251 E Main St
Annville, PA 17003-1643

1251 E Main Street
Annville, PA 17003-1643

2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363

2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MP00602000NJMDPhysician Assistant
MA061955PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Jan 1, 2022 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jan 1, 2022 Accepting new patients
Pinnacle Health Medical Services Physician Assistant Past Accepting new patients
Mariam Maniya Associates PC PastSince Jan 1, 2021 Accepting new patients

Locations

1251 E Main St
Annville, PA 17003
Phone (717) 867-4671

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

Interoperability endpoints

  • Direct secure messaging: cdesanto285568@upmc.direct-ci.com

Organizations & group practices 5

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 10

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": "1611446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1598355455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 E MAIN ST",
            "city": "ANNVILLE",
            "state": "PA",
            "postal_code": "170031643",
            "telephone_number": "717-867-4671",
            "fax_number": "717-867-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 E MAIN ST",
            "city": "ANNVILLE",
            "state": "PA",
            "postal_code": "170031643",
            "telephone_number": "717-867-4671",
            "fax_number": "717-867-4981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "941 White Horse Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086101407",
            "country_code": "US",
            "telephone_number": "609-581-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESANTO",
        "first_name": "CHRISTINA",
        "middle_name": "MONIQUE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-24",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00602000",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdesanto216892@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "1251 E Main St",
            "city": "Annville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170031643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Annville, PA

Sources for this page

Verify at the official NPI Registry.