NPIMap

Organization Active NPI

Plessen Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Christiansted, VI
National Provider Identifier
1821331133
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PLESSEN MEDICAL GROUP, LLC
Practice address
5 Orange Grove
Christiansted, VI 00820
Phone
(340) 715-7720
Fax
(340) 713-9002
NPI assigned
Apr 4, 2013
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
PLESSEN MEDICAL GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Angela East, MBA
Title
Ea to Ceo and Cmo
Phone
(340) 201-3157

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X NU
Health Service Clinic/Center 261QH0100X NU
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Medical Specialty Clinic/Center 261QM2500X NU
Primary Care Clinic/Center 261QP2300X NU
Urgent Care Clinic/Center 261QU0200X NU
Pediatric Orthopaedic Surgery Physician 207XP3100X NU

Addresses

Primary practice location

5 Orange Grove
Christiansted, VI 00820

Mailing address

3004 Orange Grove
Suite 2
Christiansted, VI 00820-4288
Phone (340) 715-7720

Other practice location 1

Sunny Isles Shopping Center
Space #1, 2, and 3A
Christiansted, VI 00820
Phone (340) 715-7720

Other practice location 2

Sunny Isles Shopping Center
Space #1, 2, and 3A
Christiansted, VI 00820
Phone (340) 715-7720

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aeast@plessenhealthcare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160301000382 VI Part B Supplier - Clinic/Group Practice 8921303918 Receives reassigned benefits from 19 practitioners
1 other NPI on this enrollment
Practice locations: Christiansted, VI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
48D2107647Plessen Medical Group, LLC5 Orange Grove, Christiansted, VI 00820Certificate of waiverFeb 6, 2027

National Provider Directory

National Provider Directory
Part of
Plessen Medical Group LLC

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1821331133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 ORANGE GROVE",
            "address_2": "SUITE 2",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008204288",
            "telephone_number": "340-715-7720",
            "fax_number": "340-713-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ORANGE GROVE",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "00820",
            "telephone_number": "340-715-7720",
            "fax_number": "340-713-9002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Sunny Isles Shopping Center",
            "address_2": "Space #1, 2, and 3A",
            "address_purpose": "LOCATION",
            "city": "Christiansted",
            "state": "VI",
            "postal_code": "00820",
            "country_code": "US",
            "telephone_number": "340-715-7720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Sunny Isles Shopping Center",
            "address_2": "Space #1, 2, and 3A",
            "address_purpose": "LOCATION",
            "city": "Christiansted",
            "state": "VI",
            "postal_code": "00820",
            "country_code": "US",
            "telephone_number": "340-715-7720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PLESSEN MEDICAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLESSEN MEDICAL GROUP, LLC",
        "enumeration_date": "2013-04-04",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "EAST",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "EA TO CEO AND CMO",
        "authorized_official_telephone_number": "340-201-3157",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aeast@plessenhealthcare.com",
            "affiliation": "Y",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "Sunny Isles Shopping Center",
            "address_2": "Space #1, 2, and 3A",
            "city": "Christiansted",
            "state": "VI",
            "country_code": "US",
            "postal_code": "00820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Christiansted, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.