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KRISTINE S ANDERSON PA
NPI 1023037173
Physician Assistant - Surgical in Champaign, IL

Active since July 19, 2006
1802 S MATTIS AVE, CHAMPAIGN, IL 61821(217) 383-3260(217) 383-4459 Get Directions Write a Review

NPPES record last updated: May 8, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristine S Anderson Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTINE S ANDERSON PA (NPI 1023037173) is an individual surgical provider in Champaign, Illinois, licensed in Washington (PA10004827) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1023037173
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKRISTINE S ANDERSONCredential: PA
Location Address1802 S MATTIS AVEChampaign, IL 61821-5923
Mailing Address611 W. Park St.Urbana, IL 61801-2500 · (217) 383-6941
Phone(217) 383-3260
Fax(217) 383-4459
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateMay 8, 2014
✔ NPI 1023037173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in WA · PA10004827
1802 S MATTIS AVE, Champaign, IL 61821
Open in Google Maps ↗

Other Names 1

Former Name (1)Kristine M Sankovitch Pa-c

Other Identifiers 4

Medicare PINIL3270443IL
Medicare UPINP86005
Medicare UPINP86005WA
Medicare NSC6447860011IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHAEL D RUBIN PHD
Psychologist
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 255-9580
CARLE CLINIC ASSOCIATION, PC
Durable Medical Equipment & Medical Supplies
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 326-1220
DR. GABRIEL SOTOMAYOR M.D.
Physical Medicine & Rehabilitation
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 902-6954
DR. JOHN P BAKER PHD
Psychologist
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 365-2855
SELAHATTIN GOKTURK M.A
Social Worker (Clinical)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 383-1850
AMANDA GAUGLER
Social Worker (Clinical)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 365-2855
MS. LISA ANNETTE ELLINGWOOD APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 365-2855
MARY K KIESEWETTER PMHNP
Nurse Practitioner
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 365-2855

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristine Anderson's NPI number?

The NPI number for Kristine Anderson is 1023037173. It was assigned to this individual provider in the NPPES registry on July 19, 2006. The provider is also known as Kristine M Sankovitch Pa-C.

Where is Kristine Anderson located?

Kristine Anderson practices at 1802 S Mattis Ave, Champaign, IL 61821. The listed phone number is (217) 383-3260.

What is Kristine Anderson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Kristine Anderson was last updated on May 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.