Active NPI
Christina Ann Skaar, PA
- Physician Assistant
- Lisle, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085006473
- Practice address
- 805 Ogden Ave
Lisle, IL 60532-1337 - Phone
- (630) 903-1759
- Fax
- (708) 398-6870
- NPI assigned
- Feb 17, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9108423 | FL | |
| Physician Assistant | 363A00000X | 085006473 | IL | Primary |
Addresses
Primary practice location
805 Ogden Ave
Lisle, IL 60532-1337
Mailing address
PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y0Q65 | Other | FL | BCBS |
| IC071Z | Other | FL | MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cskaar235882@direct.edward.org |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9108423 | FL | MD | Physician Assistant |
| 085006473 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dupage Medical Group LTD | Current | Accepting new patients | |
| HSHS Medical Group Inc | Current | Accepting new patients | |
| Family Medical Center of Chatham, LLC | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Memorial Physician Services | Physician Assistant | Current | Accepting new patients |
| Memorial Physician Services | Current | Accepting new patients | |
| SJL Health Systems Inc | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Memorial Expresscare, LLC | Past | Accepting new patients |
Locations
101 E Plummer Blvd
Chatham, IL 62629
Phone (217) 483-3487
1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000
1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889
4455 E US Route 36
Decatur, IL 62521
Phone (217) 876-5320
901 W Morton Ave
Ste 22
Jacksonville, IL 62650
Phone (217) 588-6140
805 Ogden Ave
Lisle, IL 60532
Phone (331) 903-1759
1836 S MacArthur Blvd
Springfield, IL 62704
Phone (217) 789-1403
3132 Old Jacksonville Rd
Ste 110
Springfield, IL 62704
Phone (217) 588-2600
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
Organizations & group practices 11
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.
-
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1801833983
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1962644807
-
- Family Medicine Physician
- Springfield, IL
- NPI 1174877930
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
-
- Family Medicine Physician
- Chatham, IL
- NPI 1992956528
-
- Rural Health Clinic/Center
- Dieterich, IL
- NPI 1033841192
-
- Family Medicine Physician
- Springfield, IL
- NPI 1275065906
Physician Assistant
-
- Rural Health Clinic/Center
- Jacksonville, IL
- NPI 1528741147
-
- Skilled Nursing Facility
- Pana, IL
- NPI 1215037353
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
- Family Medicine Physician
- Springfield, IL
- NPI 1750532362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690329600000",
"number": "1720479405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713260",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606771260",
"telephone_number": "630-469-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 OGDEN AVE",
"city": "LISLE",
"state": "IL",
"postal_code": "605321337",
"telephone_number": "630-903-1759",
"fax_number": "708-398-6870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKAAR",
"first_name": "CHRISTINA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-17",
"last_updated": "2023-07-26",
"certification_date": "2023-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9108423",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085006473",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y0Q65",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "IC071Z",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cskaar235882@direct.edward.org",
"affiliation": "N",
"address_1": "805 Ogden Ave",
"city": "Lisle",
"state": "IL",
"country_code": "US",
"postal_code": "605321337",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lisle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.