CHRISTINE GERDES PA-C
NPI 1245941087
Physician Assistant - Medical in West Bend, WI

NPI Status: Active since December 13, 2022

Contact Information

1700 W PARADISE DR
WEST BEND, WI
ZIP 53095
Phone: (262) 334-3451

Get Directions Write a Review

  • Individual
  • Female
  • Years of Experience 4
  • Physician Assistant
  • Medical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About CHRISTINE GERDES

This page provides the complete NPI Profile along with additional information for Christine Gerdes, a primary care provider established in West Bend, Wisconsin with a medical specialization in Physician Assistant, focusing in medical and more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1245941087 assigned on December 2022. The practitioner's primary taxonomy code is 363AM0700X with license number 7207-23 (WI). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1245941087
Provider Name
CHRISTINE GERDES PA-C
Other Name
CHRISTINE RINEHART PA-C
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
1700 W PARADISE DR WEST BEND, WI 53095
Location Phone
(262) 334-3451
Mailing Address
1700 W PARADISE DR WEST BEND, WI 53095
Mailing Phone
(262) 334-3451
Medical School Name
OTHER
Graduation Year
2022
Is Sole Proprietor?
No
Enumeration Date
12-13-2022
Last Update Date
10-12-2024
Code Navigator

A primary care provider (PCP) like Christine Gerdes sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
7207-23
License State
WI

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
  • Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
  • Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1245941087MEDICAID (05)WI 

Medicare Participation & PECOS Enrollment Status

Christine Gerdes is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Christine Gerdes is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 941672646

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230206002734

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Christine Gerdes is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ST JOSEPHS COMMUNITY HOSPITAL WEST BEND3200 PLEASANT VALLEY ROAD
WEST BEND, WI 53095
(262) 334-5533Acute Care Hospitals

Reviews for CHRISTINE GERDES PA-C

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1245941087, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
4
Doubled → 8
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 9 → 18 → 9 1 → 2 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 8 + 5 + 1 + 8 + 4 + 2 + 0 + 1 + 6 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1245941087.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
1700 W PARADISE DR
WEST BEND, WI 53095
Physical Therapist
1700 W PARADISE DR
WEST BEND, WI 53095
Family Medicine
1700 W PARADISE DR
WEST BEND, WI 53095
Physical Therapist
1700 W PARADISE DR
WEST BEND, WI 53095
Family Medicine (Geriatric Medicine)
1700 W PARADISE DR
WEST BEND, WI 53095
Physical Therapist
1700 W PARADISE DR
WEST BEND, WI 53095
Physical Therapist
1700 W PARADISE DR
WEST BEND, WI 53095
Obstetrics & Gynecology
1700 W PARADISE DR
WEST BEND, WI 53095
Physical Therapist
1700 W PARADISE DR
WEST BEND, WI 53095
Optometrist
1700 W PARADISE DR
WEST BEND, WI 53095
Physical Therapist
1700 W PARADISE DR
WEST BEND, WI 53095
Physical Therapist
1700 W PARADISE DR
WEST BEND, WI 53095
Physical Therapist
1700 W PARADISE DR
WEST BEND, WI 53095
Occupational Therapist
1700 W PARADISE DR
WEST BEND, WI 53095
Registered Nurse (Administrator)
1700 W PARADISE DR
WEST BEND, WI 53095
Physician Assistant (Medical)
1700 W PARADISE DR
WEST BEND, WI 53095
Dietitian, Registered
1700 W PARADISE DR
WEST BEND, WI 53095
Family Medicine
1700 W PARADISE DR
WEST BEND, WI 53095
Internal Medicine
1700 W PARADISE DR
WEST BEND, WI 53095
Family Medicine
1700 W PARADISE DR
WEST BEND, WI 53095

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245941087, enumerated as an "individual" on December 13, 2022.

The provider is located at 1700 W PARADISE DR WEST BEND, WI 53095 and the phone number is (262) 334-3451.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.

Christine Gerdes is affiliated with: ST JOSEPHS COMMUNITY HOSPITAL WEST BEND.