ANGELA ALLEN-BLAINE
NPI 1063924405
Nurse Practitioner - Psychiatric/Mental Health in Richmond, VA

Q: What is Angela Allen-blaine's NPI number?

The NPI number for Angela Allen-blaine is 1063924405. It was assigned to this individual provider in the NPPES registry on October 25, 2017.

Q: What is Angela Allen-blaine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since October 25, 2017PECOS Enrolled

1901 E FRANKLIN ST STE 108, RICHMOND, VA 23223(617) 379-0496(617) 379-0434 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 30, 2023, Feb 5, 2020, May 28, 2019 and 2 more (5 updates tracked since 2017).

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About Angela Allen-blaine NPPES

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

ANGELA ALLEN-BLAINE (NPI 1063924405) is an individual psychiatric/mental health provider in Richmond, Virginia, licensed in Virginia (0024175587) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1063924405

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameANGELA ALLEN-BLAINE

Location Address1901 E FRANKLIN ST STE 108Richmond, VA 23223-6966

Mailing AddressPo Box 159Lawrenceville, VA 23868-0159 · (434) 917-0970

Phone(617) 379-0496

Fax(617) 379-0434

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateOctober 25, 2017

Last NPPES UpdateMay 30, 20235 updates tracked since enumeration

NPPES CertifiedMay 30, 2023

✔ NPI 1063924405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in VA · 0024175587

Also ListedRegistered NurseTaxonomy 163W00000X · License 0001204274 (VA)

1901 E FRANKLIN ST STE 108, Richmond, VA 23223

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela Allen-blaine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759642077

PECOS Enrollment IDI20180301002304, I20240201000733

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

53 services16 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23223 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 16

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

KEGAN ANDERSON

Social Worker (Clinical)