CHRISTOPHER ALAN JR. STALEY – Medical Physician Assistant, NPI 1215588710

CHRISTOPHER ALAN JR. STALEY is a healthcare provider. based in Traverse city, Michigan. specializing in PHYSICIAN ASSISTANT. They hold a License No. 5601009566 (MI). The NPI Number for CHRISTOPHER ALAN JR. STALEY is 1215588710

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTOPHER ALAN JR. STALEY
NPI
1215588710
Phone
(231) 935-5800
Address
1200 Sixth St Ste 200
Enumeration Date
25 September 2019
Last Update Date
8 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9897319532
Graduation Year
2019 (7 years ago)
PAC ID
6800229659
Group Practice PAC ID
8820277015
Professional Enrollment ID
I20191209001444
Address ID
MI497351595GA829XXAVEX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for CHRISTOPHER ALAN JR. STALEY

  • 1200 Sixth St Ste 200

    Traverse City, MI 496842369

    Phone: (231) 935-5800

    Type: Location

  • 809 E Michigan Ave

    Grayling, MI 497381417

    Phone: (989) 348-0530

    Type: Location

  • 829 N Center Ave Ste 110

    Gaylord, MI 497351595

    Phone: (989) 731-9532

    Type: Location

  • 520, Main Street, Dowagiac, Cass County, Michigan, 49047, United States

    DOWAGIAC, MI 490471762

    Phone: (269) 783-3052

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $266.

Total Amount is formed as General ($266) + Research ($0) + Ownership ($0) = $266.

Last reported payment date: 2024-08-26 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($266).

Total Amount

$266

General + Research + Ownership

Payments

13

Total payment records

General Amount

$266

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191209001444IPhysician AssistantMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3329$0
View full utilization report →

Insurance plans in this area (ZIP 49684)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820277015View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineMI
Family PracticeMI
-MI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
-MI
-MI
Certified Registered Nurse Anesthetist (Crna)MI
Internal MedicineMI
Nurse PractitionerMI
Family PracticeMI

Reviews

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Frequently asked questions

Where can patients find CHRISTOPHER ALAN JR. STALEY's NPI?
You can confirm CHRISTOPHER ALAN JR. STALEY with NPI 1215588710; it appears in the national provider directory.
Does this profile mean CHRISTOPHER ALAN JR. STALEY is currently active?
Yes — CHRISTOPHER ALAN JR. STALEY appears active in the national provider directory.
Can you summarize CHRISTOPHER ALAN JR. STALEY's specialty in plain language?
Clinically, the directory lists CHRISTOPHER ALAN JR. STALEY with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is CHRISTOPHER ALAN JR. STALEY's primary listing?
We display Traverse City, Michigan because that is what the record indicates for CHRISTOPHER ALAN JR. STALEY.
How can I contact CHRISTOPHER ALAN JR. STALEY?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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