Active NPI
Christina Sue Elicson, PA-C
- Physician Assistant
- Wilmington, NC
National Provider Identifier
1598710261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-03354
- Practice address
- 1202 Medical Center Dr
Wilmington, NC 28401-7307 - Phone
- (910) 341-3300
- Fax
- (910) 251-2067
- NPI assigned
- May 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-03354 | NC | Primary |
Addresses
Primary practice location
1202 Medical Center Dr
Wilmington, NC 28401-7307
Mailing address
PO Box 15109
Wilmington, NC 28408-5109
Phone (910) 392-2525
Other practice location 1
1709 S 16th St Ste A
Wilmington, NC 28401-6491
Phone (910) 452-8633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Professionals of Ohio, Inc. | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Family Nurse Practitioner
- Raleigh, NC
- NPI 1699748608
-
- Internal Medicine Physician
- Wilmington, NC
- NPI 1396893640
-
- Nurse Practitioner
- Athens, OH
- NPI 1750313854
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1598710261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15109",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284085109",
"telephone_number": "910-392-2525",
"fax_number": "910-392-2827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 MEDICAL CENTER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017307",
"telephone_number": "910-341-3300",
"fax_number": "910-251-2067"
}
],
"practiceLocations": [
{
"address_1": "1709 S 16th St Ste A",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284016491",
"country_code": "US",
"telephone_number": "910-452-8633",
"fax_number": "910-452-8569",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELICSON",
"first_name": "CHRISTINA",
"middle_name": "SUE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-03354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.