Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CHRISTINA BLAINE APRN
NPI 1194641308
Nurse Practitioner - Psychiatric/Mental Health in Jacksonville, FL

Q: What is Christina Blaine's NPI number?

The NPI number for Christina Blaine is 1194641308. It was assigned to this individual provider in the NPPES registry on June 24, 2026.

Q: What is Christina Blaine's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Christina Blaine was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 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 June 24, 2026PECOS Enrolled

4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(570) 855-3967 Get Directions Write a Review

NPPES record added: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Christina Blaine Aprn NPPES

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

CHRISTINA BLAINE APRN (NPI 1194641308) is an individual psychiatric/mental health provider in Jacksonville, Florida, licensed in Florida (APRN11048654) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194641308

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameCHRISTINA BLAINECredential: APRN

Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865

Mailing Address4500 San Pablo Rd SJacksonville, FL 32224-1865

Phone(570) 855-3967

Sole ProprietorYes

Enumeration DateJune 24, 2026

NPPES CertifiedJune 24, 2026

✔ NPI 1194641308 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

License✔ Licensed in FL · APRN11048654

4500 SAN PABLO RD S, Jacksonville, FL 32224

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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)

Christina Blaine Aprn 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 32224 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 20

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

KATHERINE L WALSH PA-C/MPH

Physician Assistant