CHRISTINA SURINE
NPI 1083251714
Nurse Practitioner in Fort Wayne, IN

Q: What is Christina Surine's NPI number?

The NPI number for Christina Surine is 1083251714. It was assigned to this individual provider in the NPPES registry on December 2, 2019.

Q: What is Christina Surine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Christina Surine was last updated on February 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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 December 02, 2019

81.23/100

CMS Quality Rating

11104 PARKVIEW CIRCLE DR STE 320, FORT WAYNE, IN 46845(260) 266-5300(260) 266-5314 Get Directions Write a Review

NPPES record last updated: February 19, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 19, 2021, Mar 13, 2020, Dec 2, 2019 (3 updates tracked since 2019).

On this page

About Christina Surine NPPES

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

CHRISTINA SURINE (NPI 1083251714) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (71009671) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1083251714

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCHRISTINA SURINE

Location Address11104 PARKVIEW CIRCLE DR STE 320Fort Wayne, IN 46845-1733

Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701

Phone(260) 266-5300

Fax(260) 266-5314

Sole ProprietorNo

Enumeration DateDecember 2, 2019

Last NPPES UpdateFebruary 19, 20213 updates tracked since enumeration

NPPES CertifiedFebruary 19, 2021

✔ NPI 1083251714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IN · 71009671

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 28214372A (IN)

11104 PARKVIEW CIRCLE DR STE 320, Fort Wayne, IN 46845

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Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.23/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.95

Promoting Interoperability

100

Improvement Activities

Cost

68.49

Other Providers at the Same Location NPPES 12

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

DR. KELLY ELIZABETH KLINKER MD

Colon & Rectal Surgery