Active NPI
Miranda Christensen, PA-C
- Physician Assistant
- Huxley, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 084412
- Practice address
- 305 US-69
Huxley, IA 50124 - Phone
- (515) 597-2600
- NPI assigned
- Oct 4, 2016
- Last updated
- Oct 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 084412 | IA | Primary |
Addresses
Primary practice location
305 US-69
Huxley, IA 50124
Mailing address
17315 290TH St
Templeton, IA 51463-8511
Phone (712) 210-4755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
305 S US Hwy 69
Family Med Huxley
Huxley, IA 50124-8095
Phone (515) 597-2600
4480 Utica Ridge Rd
Bettendorf, IA 52722-1644
4480 Utica Ridge Rd
Suite 160
Bettendorf, IA 52722-1637
Phone (563) 742-5950
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 084412 | IA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Physician Assistant | Current | Accepting new patients |
| Boone County Hospital | Past | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
305 S US Highway 69
Huxley, IA 50124
Phone (515) 597-2600
8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363
Interoperability endpoints
- mchristensen466556@direct.unitypoint.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UnityPoint Clinic
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
-
dba Unitypoint Clinic Family Medicine - Correctionville
- Rural Health Clinic/Center
- Correctionville, IA
- NPI 1639061583
Physician Assistant
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Critical Access Hospital
- Boone, IA
- NPI 1467434225
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ames, IA
- NPI 1477539492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475539200000",
"number": "1982154886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17315 290TH ST",
"city": "TEMPLETON",
"state": "IA",
"postal_code": "514638511",
"telephone_number": "712-210-4755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 US-69",
"city": "HUXLEY",
"state": "IA",
"postal_code": "50124",
"telephone_number": "515-597-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTENSEN",
"first_name": "MIRANDA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-04",
"last_updated": "2016-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IA",
"license": "084412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huxley, IA
- Ballard Physical Therapy & Sports Medicine PLLC
- Michael Christopher Brixius, PHARMD
- Terry Linn Burk, DC
- Central Iowa Chiropractic, LLC
- Central Iowa Hospital Corporation (Huxley Family Physicians)
- City of Huxley (Huxley Ambulance Service)
- Robert William Drew, M.S.P.T.
- Alexus Flaherty
- Calandra Elizabeth Fobian, RN IBCLC
- Dustin David Gorman, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.