Christine Grassman, NP
Individual provider Active NPI Family Nurse Practitioner · Sierra Vista, AZ
NPI 1689111817 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1689111817
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP8680 (AZ)
- Practice address
- 155 Calle Portal Ste 300
Sierra Vista, AZ 85635-2900 - Phone
- (520) 459-3011
- Fax
- (520) 364-4261
- NPI assigned
- Jan 25, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chiricahua Community Health Centers Inc
Practice addresses (Care Compare)
155 Calle Portal
Suite 700
Sierra Vista, AZ 85635-2973
Phone (520) 364-6852
Hospital & facility affiliations
- Canyon Vista Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180523002741 | AZ | Practitioner - Nurse Practitioner | 1052676939 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP8680 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiricahua Community Health Centers, Inc | Current | Accepting new patients | |
| Chiricahua Community Health Centers, Inc. | Current |
Accepting new patients | |
| Chiricahua Community Health Centers, Inc | Current |
Accepting new patients |
Locations
335 S Ocotillo St
Benson, AZ 85602
Phone (520) 326-4811
108 Arizona St
Bisbee, AZ 85603
Phone (520) 432-3309
815 E 15th St
Douglas, AZ 85607
Phone (520) 364-5437
1111 N F Ave
Douglas, AZ 85607
Phone (520) 364-6860
1151 E 16th St
Douglas, AZ 85607
Phone (520) 364-5437
1205 N F Ave
Douglas, AZ 85607
Phone (520) 364-6852
1100 N F Ave
Douglas, AZ 85607
Phone (520) 364-3285
10566 N Highway 191
Elfrida, AZ 85610
Phone (520) 642-2222
155 Calle Portal
Ste 700
Sierra Vista, AZ 85635
Phone (520) 459-0203
155 Calle Portal
Ste 300
Sierra Vista, AZ 85635
Phone (520) 458-6331
251 W Rex Allen Dr
Willcox, AZ 85643
Interoperability endpoints
- christine.grassman.p1@direct.cchci.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP8680 | AZ | Yes |
Addresses
Primary practice location
155 Calle Portal Ste 300
Sierra Vista, AZ 85635-2900
Mailing address
PO Box 3
Tombstone, AZ 85638-0003
Phone (520) 266-2293
Other providers in Sierra Vista, AZ
- James Garet Goodman
- Blair T Goodsell
- Thomas Goulding
- GP Medicine, PLLC
- Christopher Hugh Grant Jr.
- Emily Serena Graves
- Thomas D Gray
- Danielle Ernestine Green
- Grieving the Child
- Justin Griffin
All providers in Sierra Vista, AZ · Family Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.