Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHRISTINA MARIA SUPINO DO
NPI 1073192555
Surgery - Vascular Surgery in Tacoma, WA

Q: What is Christina Supino's NPI number?

The NPI number for Christina Supino is 1073192555. It was assigned to this individual provider in the NPPES registry on April 3, 2021.

Q: What is Christina Supino's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Christina Supino was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.

Active since April 03, 2021PECOS Enrolled

9040 JACKSON AVE, TACOMA, WA 98431(253) 968-1110 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 21, 2026, Jun 6, 2022, Apr 3, 2021 (3 updates tracked since 2021).

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About Christina Maria Supino Do NPPES

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

CHRISTINA MARIA SUPINO DO (NPI 1073192555) is an individual vascular surgery provider in Tacoma, Washington, licensed in Michigan (5151014961) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Olympia.

NPPES Registry Identity

NPI1073192555

Entity TypeIndividualFemale

Primary Taxonomy2086S0129X

Provider Legal NameCHRISTINA MARIA SUPINOCredential: DO

Location Address9040 JACKSON AVETacoma, WA 98431-0001

Mailing Address16908 119th Avenue Ct EPuyallup, WA 98374-9539

Phone(253) 968-1110

Sole ProprietorNo

Enumeration DateApril 3, 2021

Last NPPES UpdateSeptember 21, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2026

✔ NPI 1073192555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in MI · 5151014961

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

9040 JACKSON AVE, Tacoma, WA 98431

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Secondary Practice Location 1

Location 1413 Lilly Rd NEOlympia, WA 98506-5166 · Phone (360) 491-9480

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christina Maria Supino Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98431 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

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

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.

MICHAEL JOHN MEANS CRNA

Nurse Anesthetist, Certified Registered