Individual provider Active NPI

Christopher Michael Prevette, PA-C

  • Physician Assistant
  • Fort Carson, CO
National Provider Identifier
1760534440
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1650 Cochrane Cir
Fort Carson, CO 80913-4604
Phone
(719) 526-6073
Fax
(719) 526-7732
NPI assigned
Jan 16, 2007
Last updated
Feb 23, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

1650 Cochrane Cir
Fort Carson, CO 80913-4604

Mailing address

1650 Cochrane Cir
Fort Carson, CO 80913-4604
Phone (719) 526-6073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI, IL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20181212001751 IN Practitioner - Physician Assistant 9032453428 Reassigns benefits to 1 organization
I20211008000098 MI Practitioner - Physician Assistant 9032453428 Reassigns benefits to 1 organization
I20241001000442 IL Practitioner - Physician Assistant 9032453428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Workit Health Mi PLLCGroup PAC ID 6406101625, 22 clinicians

Practice addresses (Care Compare)

3300 Washtenaw Ave
Suite 280
Ann Arbor, MI 48104-5184
Phone (734) 329-5419

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Workit Health Mi PLLC CurrentSince Aug 28, 2024 Accepting new patients
Workit Health Mi PLLC CurrentSince Jul 26, 2022 Accepting new patients
Workit Health Mi PLLC CurrentSince Apr 12, 2022 Accepting new patients
Workit Health Mi PLLC CurrentSince Apr 12, 2022 Accepting new patients

Locations

1280 Iroquois Ave
Ste 402
Naperville, IL 60563
Phone (872) 255-0357

2160 W 86th St
Ste 200
Indianapolis, IN 46260
Phone (941) 539-9889

3300 Washtenaw Ave
Ste 280
Ann Arbor, MI 48104
Phone (734) 329-5419

221 Bolivar St
Jefferson Cty, MO 65101
Phone 24852821166

Interoperability endpoints

  • Direct secure messaging: christopher.prevette@597174495543300.direct.elationemr.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1760534440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134604",
            "telephone_number": "719-526-6073",
            "fax_number": "719-526-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134604",
            "telephone_number": "719-526-6073",
            "fax_number": "719-526-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVETTE",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Carson, CO

Sources for this page

Verify at the official NPI Registry.