Christina Star Petersen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C06578 Issued in MD

Practice address

100 Bureau Drive BLDG 101, RM C-33, Ms #1732
Gaithersburg, MD 20899-0001

Phone

(301) 975-5131

NPI assigned

Sep 28, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Christina Star McCann Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1811406267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 MEDICAL CENTER ROAD",
            "address_2": "BLDG # 36065",
            "city": "FT. HOOD",
            "state": "TX",
            "postal_code": "765445060",
            "telephone_number": "254-553-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BUREAU DRIVE BLDG 101, RM C-33, MS #1732",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208990001",
            "telephone_number": "301-975-5131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4494 Palmer Rd N Wrnmmc Neurosurgery",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208890001",
            "country_code": "US",
            "telephone_number": "301-295-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "590 Medical Center Road",
            "address_2": "Bldg # 36065",
            "address_purpose": "LOCATION",
            "city": "Ft. Hood",
            "state": "TX",
            "postal_code": "765445060",
            "country_code": "US",
            "telephone_number": "254-553-4196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "CHRISTINA",
        "middle_name": "STAR",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C06578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "MCCANN",
            "middle_name": "STAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physician Assistant in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.