Nicolia Stelliani Christy, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085.009075 Issued in IL

Practice address

9200 Calumet Ave # 203
Munster, IN 46321-2885

Phone

(219) 228-4200

NPI assigned

Oct 3, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN, CO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermatology Skin Cancer and Laser Surgery Center P.C.Group PAC ID 6709775133, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Advanced Dermatology Skin Cancer & Laser Surgery Center P.C.

  • Dermatology Physician
  • Aurora, CO
  • NPI 1134170012
  Medicare reassignment Care Compare group NPD (past)
• Dermio Dermatology, LLC

  • Dermatology Physician
  • Munster, IN
  • NPI 1811402423
  Medicare reassignment
• Advanced Dermatology Skin Cancer & Laser Surgery Center P.C.

  • Dermatology Physician
  • Evergreen, CO
  • NPI 1306448220
  NPD
• Advanced Dermatology Skin Cancer & Laser Surgery Center P.C.

  • Dermatology Physician
  • Castle Rock, CO
  • NPI 1811590433
  NPD
• Dermio Surgery Center

  • MOHS-Micrographic Surgery Physician
  • Munster, IN
  • NPI 1346072139
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1730803628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 CALUMET AVE # 203",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212885",
            "telephone_number": "219-228-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 CALUMET AVE # 203",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212885",
            "telephone_number": "219-228-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTY",
        "first_name": "NICOLIA",
        "middle_name": "STELLIANI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.009075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "10003967A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phillip Cho
• Eunjin Choi, FNP
• Samra Chouhdry, PHARMD
• Gorantla M Chowdary, M.D.
• Priti Chowdhury, MD
• Jonathan Chua
• Charles Randall Chube, M.D.
• Sameea A Chughtai, DO
• Therese Chukwu, OTR/L
• Chung Medical Corporation

• Physician Assistant in Munster, IN
• Providers in Munster, IN by specialty
• Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.