MISS REGINE BLAISE FPMHNP
NPI 1144929209
Nurse Practitioner - Psychiatric/Mental Health in Forest Hills, NY

Active since February 27, 2023PECOS Enrolled
11835 QUEENS BLVD STE 1630, FOREST HILLS, NY 11375(925) 231-4325 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2024, Apr 12, 2024, Mar 7, 2024 and 1 more (4 updates tracked since 2023).

About Miss Regine Blaise Fpmhnp NPPES

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

MISS REGINE BLAISE FPMHNP (NPI 1144929209) is an individual psychiatric/mental health provider in Forest Hills, New York, licensed in New York (F404790) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1144929209
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMISS REGINE BLAISECredential: FPMHNP
Location Address11835 QUEENS BLVD STE 1630Forest Hills, NY 11375-7256
Mailing AddressPo Box 1133West Babylon, NY 11704-0133 · (631) 987-4632
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 27, 2023
Last NPPES UpdateApril 24, 20254 updates tracked since enumeration
NPPES CertifiedApril 24, 2025
NPI 1144929209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in NY · F404790 Licensed in NJ · 26NJ15040200
11835 QUEENS BLVD STE 1630, Forest Hills, NY 11375

Secondary Practice Location 1

Location 1276 5th Ave # 704-2112New York, NY 10001-4509 · Phone (415) 671-2165

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Miss Regine Blaise Fpmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153783477
PECOS Enrollment IDI20231012001158, I20250430000364
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

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
31 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11375 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

Other Providers at the Same Location NPPES 8

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

Psychologist
11835 QUEENS BLVD STE 1630
FOREST HILLS, NY 11375
Social Worker (Clinical)
11835 QUEENS BLVD STE 1630
FOREST HILLS, NY 11375
Counselor (Mental Health)
11835 QUEENS BLVD STE 1630
FOREST HILLS, NY 11375
Psychologist (Clinical)
11835 QUEENS BLVD STE 1630
FOREST HILLS, NY 11375
Counselor (Mental Health)
11835 QUEENS BLVD STE 1630
FOREST HILLS, NY 11375
Psychiatry & Neurology (Psychiatry)
11835 QUEENS BLVD STE 1630
FOREST HILLS, NY 11375
Psychologist (Clinical)
11835 QUEENS BLVD STE 1630
FOREST HILLS, NY 11375
Counselor (Mental Health)
11835 QUEENS BLVD STE 1630
FOREST HILLS, NY 11375

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Regine Blaise's NPI number?

The NPI number for Regine Blaise is 1144929209. It was assigned to this individual provider in the NPPES registry on February 27, 2023.

Where is Regine Blaise located?

Regine Blaise practices at 11835 Queens Blvd Ste 1630, Forest Hills, NY 11375. The listed phone number is (925) 231-4325.

What is Regine Blaise's specialty?

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

Is Regine Blaise enrolled in Medicare?

Yes. Regine Blaise is registered in the Medicare PECOS enrollment system.

What insurance does Regine Blaise accept?

Health plans from Providence Health Plan list Regine Blaise as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Regine Blaise was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.