Individual provider Active NPI

Christopher Michael Krippinger, PA-C

  • Physician Assistant
  • Evergreen Park, IL
National Provider Identifier
1801301494
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.006415 Issued in IL
Practice address
3900 W 95TH St Ste 12
Evergreen Park, IL 60805-1901
Phone
(708) 636-3767
NPI assigned
Dec 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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 085.006415 IL Primary

Addresses

Primary practice location

3900 W 95TH St Ste 12
Evergreen Park, IL 60805-1901

Mailing address

16105 S la Grange Rd
Orland Park, IL 60467-5503
Phone (708) 636-3767

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180110000705 IL Practitioner - Physician Assistant 6800155292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bielinski Dermatology Group LLCGroup PAC ID 6406868769, 10 clinicians

Practice addresses (Care Compare)

16105 S la Grange Rd
Orland Park, IL 60467-5503
Phone (708) 636-3767

3900 W 95TH St
Suite 12
Evergreen Park, IL 60805-1901
Phone (708) 636-3767

Hospital & facility affiliations

  • Osf Little Company of Mary Medical Center Hospital, Evergreen Park, IL, CCN 140179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085.006415ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oliver Drabkin M.D. S.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ckrippinger@directaddress.net

Organizations & group practices 2

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 1

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": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1801301494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16105 S LA GRANGE RD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675503",
            "telephone_number": "708-636-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 W 95TH ST STE 12",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608051901",
            "telephone_number": "708-636-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIPPINGER",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-05",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.006415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen Park, IL

Sources for this page

Verify at the official NPI Registry.