CMS-1500 Box 24J / 33a • NPI
1386643674
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363A00000X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
Box 32 Service Location & ZIP+4
185 KISCO AVE, SUITE 300, MOUNT KISCO, NY, 10549-1409
✓ 9-Digit EDI 837 ZIP+4 (10549-1409)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1386643674 (KELLY ANN CHRISTMAN, RPAC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1386643674)
Medicare Beneficiaries
486
Total Billed Services
2,643
Distinct CPT/HCPCS Codes
37
Medicare Allowed Total
$170,485.16
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
10040 | Acne surgery | 17 |
11102 | Biopsy of related skin growth, first growth | 323 |
11103 | Biopsy of related skin growth, each additional growth | 254 |
11104 | Punch biopsy, first skin growth | 13 |
11900 | Injection into skin growth, 1-7 growths | 25 |
17000 | Destruction of precancer skin growth, 1 growth | 258 |
17003 | Destruction of precancer skin growth, 2-14 growths | 634 |
17004 | Destruction of precancer skin growth, 15 or more growths | 29 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Azelaic Acid Azelaic Acid | 18 | <11 |
| Betamethasone Dipropionate Betamethasone Dipropionate | 22 | 19 |
| Ciclopirox Ciclopirox | 11 | <11 |
| Clindamycin Phosphate Clindamycin Phosphate | 14 | <11 |
| Clobetasol Propionate Clobetasol Propionate | 45 | 37 |
| Desonide Desonide | 17 | 14 |
| Doxycycline Hyclate Doxycycline Hyclate | 20 | 13 |
| Fluocinonide Fluocinonide | 16 | 13 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1386643674 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KELLY ANN CHRISTMAN, RPAC |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant NUCC Code: 363A00000X (Physician Assistant) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 185 KISCO AVE, SUITE 300, MOUNT KISCO, NY, 10549-1409 |
| Practice Telephone / Fax | Tel: (914) 242-2020 | Fax: (914) 242-0690 |
| Administrative Mailing Address | 190 GOLDENS BRIDGE RD, KATONAH, NY, 10536-2810 |
| Enumeration & Last Sync | Enumerated: 2005-07-19 | CMS Record Updated: 2014-03-13 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363A00000X)
What Does Taxonomy Code 363A00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KELLY ANN CHRISTMAN, RPAC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: NY | License: 009010 | Primary: Yes (Primary) |
363AM0700X — Physician Assistant, MedicalPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical | State: NY | License: 009010 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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