Christopher Childers, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

4704250115 Issued in MI

Practice address

102 N Adelaide St Ste 102
Fenton, MI 48430-2670

Phone

(810) 262-7030

Fax

(810) 208-0363

NPI assigned

Oct 11, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hurley Medical CenterGroup PAC ID 2961308481, shared by 10 NPIs, 336 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hurley Medical Center Hospital, Flint, MI, CCN 230132

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cchilders106312@direct.hurleymc.com

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.

• Hurley Medical Center

  • Nurse Practitioner
  • Flint, MI
  • NPI 1053347880
  Medicare reassignment NPD
• Hurley Medical Center

  • Obstetrics & Gynecology Physician
  • Flint, MI
  • NPI 1982630844
  Medicare reassignment NPD
• University Physician Group

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1447299797
  Medicare reassignment NPD
• VHS Physicians of Michigan

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1073827101
  Medicare reassignment NPD
• Hurley Medical Center

  • Certified Registered Nurse Anesthetist
  • Flint, MI
  • NPI 1558397653
  NPD
• Hurley Medical Center

  • Neurological Surgery Physician
  • Flint, MI
  • NPI 1659042737
  NPD
• Hurley Medical Center

  • Plastic and Reconstructive Surgery Physician
  • Flint, MI
  • NPI 1689345761
  NPD
• Hurley Medical Center

  • Emergency Medicine Physician
  • Flint, MI
  • NPI 1831140367

  Nurse Practitioner

  NPD
• Pathology Associates Inc PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Flint, MI
  • NPI 1922116094
  NPD
• Hurley Medical Center

  • Surgery Physician
  • Flint, MI
  • NPI 1659323384
  NPD (past)
• Hurley Medical Center

  • Pediatrics Physician
  • Flint, MI
  • NPI 1821024910
  NPD (past)

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

• Hurley Medical Center

  • General Acute Care Hospital
  • Flint, MI
  • NPI 1598717480
  Care Compare affiliation

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1851866396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 JOHN R ST STE 930",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012017",
            "telephone_number": "313-745-7247",
            "fax_number": "313-993-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N ADELAIDE ST STE 102",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302670",
            "telephone_number": "810-262-7030",
            "fax_number": "810-208-0363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4160 John R St Ste 930",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012017",
            "country_code": "US",
            "telephone_number": "313-745-7247",
            "fax_number": "313-993-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "CHRISTOPHER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-11",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704250115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cchilders106312@direct.hurleymc.com",
            "affiliation": "N",
            "address_1": "102 N Adelaide St Ste 102",
            "city": "Fenton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484302670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• CC Rehab
• Christopher Weston Cenzer, DO
• Char Combs Rehabilitation and Consultation Services Inc
• Jodi Charles, PTA
• Rebecca Lin Chema
• Audrey Chipka, PHARM.D.
• Soon A Choi, MD
• Christopher Iacobelli MD PC
• Daniel J Cirka, PAC
• Darin T Clark, P.A.-C

• Primary Care Nurse Practitioner in Fenton, MI
• Providers in Fenton, MI by specialty
• Primary Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.