Individual provider Active NPI

Christina A Thayer, PA-C

  • Physician Assistant
  • Irwin, PA
National Provider Identifier
1982241774
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA061218 Issued in PA
Practice address
25 N Thompson LN
Irwin, PA 15642-9305
Phone
(724) 382-4941
NPI assigned
Nov 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X MA061218 PA
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X MA061218 PA
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X MA061218 PA
Physician Assistant 363A00000X MA061218 PA Primary
Medical Physician Assistant 363AM0700X MA061218 PA

Addresses

Primary practice location

25 N Thompson LN
Irwin, PA 15642-9305

Mailing address

25 N Thompson LN Ste E
Irwin, PA 15642-9305
Phone (724) 382-4941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20200107002006 PA Practitioner - Physician Assistant 7113351768 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
Telehealth
Offers telehealth services
Group practices
Alepix Behavioral Clinic Professional CorporationGroup PAC ID 8820401896, 21 clinicians

Practice addresses (Care Compare)

25 N Thompson LN
Suite E
Irwin, PA 15642-9305
Phone (724) 382-4941

27 N Thompson LN
Suite B
Irwin, PA 15642-9305
Phone (724) 382-4941

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology Association CurrentSince Nov 16, 2019 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 25, 2020 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 25, 2020 Accepting new patients

Locations

5115 Centre Ave
Pittsburgh, PA 15232
Phone (412) 235-1020

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

5115 Centre Ave
Fl 3
Pittsburgh, PA 15232
Phone (412) 235-1020

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1574985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1982241774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N THOMPSON LN STE E",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156429305",
            "telephone_number": "724-382-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N THOMPSON LN",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156429305",
            "telephone_number": "724-382-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAYER",
        "first_name": "CHRISTINA",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-29",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "PA",
            "license": "MA061218",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "PA",
            "license": "MA061218",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "PA",
            "license": "MA061218",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061218",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA061218",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irwin, PA

Sources for this page

Verify at the official NPI Registry.