Individual provider Active NPI

Chrissa Lee Sansone, PA-C

  • Physician Assistant
  • Fountain Hill, PA
National Provider Identifier
1770816027
Registry record updated Mar 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA054115 Issued in PA
Practice address
510 Delaware Ave
Fountain Hill, PA 18015-1280
Phone
(610) 866-6614
NPI assigned
Sep 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2010

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 MA054115 PA Primary

Addresses

Primary practice location

510 Delaware Ave
Fountain Hill, PA 18015-1280

Mailing address

7738 Herstra CT
New Tripoli, PA 18066-3724
Phone (610) 739-2760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20091113000026 PA Practitioner - Physician Assistant 9436297397 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA054115PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc CurrentSince Aug 21, 2023 Accepting new patients
Lehigh Valley Physician Group CurrentSince Mar 19, 2016 Accepting new patients
Lehigh Valley Physician Group CurrentSince Mar 19, 2016 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Aug 21, 2023 Accepting new patients
St. Luke'S Physician Group, Inc. Past Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients
St. Luke'S Physician Group, Inc. Past Accepting new patients

Locations

501 Cetronia Rd
Ste 125
Allentown, PA 18104
Phone (484) 426-2055

2775 Schoenersville Rd
Bethlehem, PA 18017

701 Ostrum St
Ste 602
Fountain Hill, PA 18015
Phone (610) 807-9400

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

9 Daves Way
Ofc Physicians
Hamburg, PA 19526

15065 Kutztown Rd
Kutztown, PA 19530
Phone (484) 822-8001

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

575 S 9th St
Ste 5
Lehighton, PA 18235

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

Interoperability endpoints

  • Direct secure messaging: chrissa.sansone@slpg.direct-sluhn.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268352000000",
    "number": "1770816027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7738 HERSTRA CT",
            "city": "NEW TRIPOLI",
            "state": "PA",
            "postal_code": "180663724",
            "telephone_number": "610-739-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 DELAWARE AVE",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180151280",
            "telephone_number": "610-866-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANSONE",
        "first_name": "CHRISSA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2010-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hill, PA

Sources for this page

Verify at the official NPI Registry.