Active NPI
Christen Marie Alcordo
- Physician Assistant
- Eagan, MN
National Provider Identifier
1699363572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085.008843
- Practice address
- PO Box 211699
Eagan, MN 55121-3699 - Phone
- (866) 849-0692
- Fax
- (888) 973-8821
- NPI assigned
- Jan 6, 2021
- Last updated
- Jun 5, 2026
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 14062 | GA | |
| Physician Assistant | 363A00000X | C5-0012456 | DE | |
| Physician Assistant | 363A00000X | 2852 | AL | |
| Physician Assistant | 363A00000X | 137743 | IA | |
| Physician Assistant | 363A00000X | 085.008843 | IL | Primary |
Addresses
Primary practice location
PO Box 211699
Eagan, MN 55121-3699
Mailing address
PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692
Other practice location 1
3437 Caroline St
Saint Louis, MO 63104-1111
Phone (314) 977-8521
Other practice location 2
135 E Irving Park Rd
Streamwood, IL 60107-2950
Phone (844) 599-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220817003707 | IL | Order and Referring Only - Physician Assistant | 4587047980 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5-0012456 | DE | MD | Physician Assistant |
| 14062 | GA | MD | Physician Assistant |
| 137743 | IA | MD | Physician Assistant |
| 085.008843 | IL | MD | Physician Assistant |
Interoperability endpoints
- christen.alcordo.p1@direct.gefcc.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1699363572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 211699",
"city": "EAGAN",
"state": "MN",
"postal_code": "551213699",
"telephone_number": "866-849-0692",
"fax_number": "888-973-8821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 211699",
"city": "EAGAN",
"state": "MN",
"postal_code": "551213699",
"telephone_number": "866-849-0692",
"fax_number": "888-973-8821"
}
],
"practiceLocations": [
{
"address_1": "3437 Caroline St",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631041111",
"country_code": "US",
"telephone_number": "314-977-8521",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "135 E Irving Park Rd",
"address_purpose": "LOCATION",
"city": "Streamwood",
"state": "IL",
"postal_code": "601072950",
"country_code": "US",
"telephone_number": "844-599-3700",
"fax_number": "630-289-5879",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALCORDO",
"first_name": "CHRISTEN",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-06",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "14062",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DE",
"license": "C5-0012456",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AL",
"license": "2852",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "137743",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085.008843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.