Individual provider Active NPI

Carol Lee Christensen, NP-C

  • Family Nurse Practitioner
  • Springfield, OH
National Provider Identifier
1801190988
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
260020 Issued in OH
Practice address
30 W McCreight Ave
Ste 211
Springfield, OH 45504-1842
Phone
(937) 325-3696
Fax
(937) 325-9859
NPI assigned
Jan 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 260020 OH
Family Nurse Practitioner 363LF0000X 260020 OH Primary

Addresses

Primary practice location

30 W McCreight Ave
Ste 211
Springfield, OH 45504-1842

Mailing address

30 W McCreight Ave
Ste 211
Springfield, OH 45504-1842
Phone (937) 325-3696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20161012001682 OH Practitioner - Nurse Practitioner 9931497617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wright State University Boonshoft School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Springfield Specialty Care LLCGroup PAC ID 4284059981, 129 clinicians

Practice addresses (Care Compare)

30 W McCreight Ave
Springfield, OH 45504-1853

900 Scioto St
Suite 1
Urbana, OH 43078-2251
Phone (937) 717-4884

Hospital & facility affiliations

  • Springfield Regional Medical Center Hospital, Springfield, OH, CCN 360086
  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234
  • Ohio Valley Surgical Hospital Hospital, Springfield, OH, CCN 360355
  • Mercy Health - Urbana Hospital Hospital, Urbana, OH, CCN 361312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
260020OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Springfield Specialty Care LLC CurrentSince Sep 1, 2020 Accepting new patients

Locations

30 W McCreight Ave
Ste 211
Springfield, OH 45504
Phone (937) 325-3696

900 Scioto St
Ste 1
Urbana, OH 43078
Phone (937) 653-4666

Interoperability endpoints

  • Direct secure messaging: cchristensen219200@direct.bsmhealth.org

Organizations & group practices 1

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474588800000",
    "number": "1801190988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W MCCREIGHT AVE",
            "address_2": "STE 211",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041842",
            "telephone_number": "937-325-3696",
            "fax_number": "937-325-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W MCCREIGHT AVE",
            "address_2": "STE 211",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041842",
            "telephone_number": "937-325-3696",
            "fax_number": "937-325-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "CAROL",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-04",
        "last_updated": "2016-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "260020",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "260020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.