1. Home
  2. Directory
  3. New York
  4. Forest Hills
  5. Nurse Practitioner
  6. NPI Profile

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: October 25, 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
Phone(925) 231-4325
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
Open in Google Maps ↗

Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Regine Blaise reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Helping Hands With Regine Np In Psychiatry PLLC
24 mi
Psychiatric/Mental Health, Adult
609 ROUTE 109 STE 2B5
West Babylon, NY 11704
  • Reassigned Medicare billing, New Jersey and New York enrollments
NPI 1013770916 (631) 987-4632
Brookview Medical Associates, PLLC
38 mi
General Practice
80 ORVILLE DR STE 100
Bohemia, NY 11716
  • Reassigned Medicare billing, New York enrollment
  • 754 clinicians in this Medicare group
NPI 1871965855 (972) 715-3800
Carmel Psychological Health, PC
47 mi
Psychologist
667 STONELEIGH AVE STE 202
Carmel, NY 10512
  • Reassigned Medicare billing, New York enrollment
  • 296 clinicians in this Medicare group
NPI 1720194335 (845) 279-5908
Mental Health Specialty Group PA
426 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, New York enrollment
  • 144 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088
Aldad Medical PC
526 mi
Psychiatry
200 S 1ST ST
Ann Arbor, MI 48104
  • Reassigned Medicare billing, New York enrollment
  • 103 clinicians in this Medicare group
NPI 1174784953 (516) 505-7200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 11

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

DR. JONATHAN HARRY LIGHTER GLICKMAN PSY.D.
Psychologist
11835 QUEENS BLVD STE 1630
FOREST HILLS, NY 11375
Queens County (845) 279-5908
YILIN CHEN LCSW
Social Worker (Clinical)
11835 QUEENS BLVD STE 1630
FOREST HILLS, NY 11375
Queens County (845) 279-5908
VERONICA LOWE NP
Nurse Practitioner (Psychiatric/Mental Health)
11835 QUEENS BLVD STE 1630
FOREST HILLS, NY 11375
Queens County (929) 346-7176
ANA GARMISE LMHC, CASAC
Counselor (Mental Health)
11835 QUEENS BLVD STE 1630
FOREST HILLS, NY 11375
Queens County (929) 450-5628
DR. LIAT RIVKA SEGAL PHD
Psychologist (Clinical)
11835 QUEENS BLVD STE 1630
FOREST HILLS, NY 11375
Queens County (845) 279-5908
ASHLEY ELIZABETH SICILIANO
Counselor (Mental Health)
11835 QUEENS BLVD STE 1630
FOREST HILLS, NY 11375
Queens County (845) 279-5908
BRETT HARBACH LMHC
Counselor (Mental Health)
11835 QUEENS BLVD STE 1630
FOREST HILLS, NY 11375
Queens County (845) 572-0400
DR. SAMUEL MAX NG-FELS MD
Psychiatry & Neurology (Psychiatry)
11835 QUEENS BLVD STE 1630
FOREST HILLS, NY 11375
Queens County (845) 279-5908

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.

Which organizations bill Medicare for Regine Blaise's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Regine Blaise reassigns Medicare benefits to 5 organizations: Helping Hands With Regine Np In Psychiatry PLLC (West Babylon, NY), Brookview Medical Associates, PLLC (Bohemia, NY), Carmel Psychological Health, PC (Carmel, NY), Mental Health Specialty Group PA (Durham, NC) and Aldad Medical PC (Ann Arbor, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Regine Blaise's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Regine Blaise accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare and Oscar Health 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 18 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.