Individual provider Active NPI

Christina Deleon, PA-C

  • Medical Physician Assistant
  • Stevensville, MD
National Provider Identifier
1902466998
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0007170 Issued in MD
Practice address
202 Saint Claire PL Ste 150
Stevensville, MD 21666-2152
Phone
(888) 820-3376
Fax
(888) 826-4576
NPI assigned
Jun 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C0007170 MD Primary

Addresses

Primary practice location

202 Saint Claire PL Ste 150
Stevensville, MD 21666-2152

Mailing address

202 Saint Claire PL Ste 150
Stevensville, MD 21666-2152
Phone (888) 820-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20190715000298 MD Practitioner - Physician Assistant 6608101639 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellave LLCGroup PAC ID 0648563015, 13 clinicians

Practice addresses (Care Compare)

1411 S Salisbury Blvd
Suite a
Salisbury, MD 21801-7159
Phone (888) 820-3376

2108 Didonato Dr
Chester, MD 21619-2628
Phone (888) 820-3376

4 Caulk LN
Suite C
Easton, MD 21601-3808
Phone (888) 820-3376

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 4

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 2

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": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1902466998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 SAINT CLAIRE PL STE 150",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662152",
            "telephone_number": "888-820-3376",
            "fax_number": "888-826-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 SAINT CLAIRE PL STE 150",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662152",
            "telephone_number": "888-820-3376",
            "fax_number": "888-826-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEON",
        "first_name": "CHRISTINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0007170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevensville, MD

Sources for this page

Verify at the official NPI Registry.