CHRISTINA L BLAKE NP
NPI 1245765841
Nurse Practitioner - Psychiatric/Mental Health in Simpsonville, SC

Active since April 21, 2017PECOS Enrolled
106 W GEORGIA RD, SIMPSONVILLE, SC 29681(864) 662-6840(864) 448-1720 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 30, 2020, Apr 15, 2020, Aug 18, 2017 and 3 more (6 updates tracked since 2017).

About Christina L Blake Np NPPES

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

CHRISTINA L BLAKE NP (NPI 1245765841) is an individual psychiatric/mental health provider in Simpsonville, South Carolina, licensed in South Carolina (21071) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Spartanburg.

NPPES Registry Identity

NPI1245765841
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCHRISTINA L BLAKECredential: NP
Location Address106 W GEORGIA RDSimpsonville, SC 29681-2302
Mailing Address106 W Georgia RdSimpsonville, SC 29681-2302 · (864) 662-6840 · Fax (864) 448-1720
Fax(864) 448-1720
Sole ProprietorNo
Enumeration DateApril 21, 2017
Last NPPES UpdateMarch 19, 20246 updates tracked since enumeration
NPPES CertifiedMarch 19, 2024
✔ NPI 1245765841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in SC · 21071
Also ListedRegistered NurseTaxonomy 163W00000X · License 225614 (SC)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 211071 (SC)
106 W GEORGIA RD, Simpsonville, SC 29681

Secondary Practice Location 1

Location 1391 Serpentine Dr, SUITE 400Spartanburg, SC 29303-3096 · Phone (864) 560-7517 · Fax (864) 560-7520

Other Identifiers 2

MedicaidNP4579SC
OtherSCA8307652Medicare Pin

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christina L Blake Np 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.

Medicare Billing Reassignments

7

Medicare enrollment records show Christina Blake reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
503 S MAIN ST
Mauldin, SC 29662
  • Reassigned Medicare billing, South Carolina enrollment
Psychiatry
1 HEALTHY WAY
Oceanside, NY 11572
  • Reassigned Medicare billing, New York enrollment
  • 12 clinicians in this Medicare group
Family Medicine
1507 DOCTORS CT
Watertown, WI 53094
  • Reassigned Medicare billing, Wisconsin enrollment
  • 215 clinicians in this Medicare group
General Acute Care Hospital
1801 HICKMAN RD
Des Moines, IA 50314
  • Reassigned Medicare billing, Iowa enrollment
  • 518 clinicians in this Medicare group
Adult Mental Health
1501 42ND ST STE 120
West Des Moines, IA 50266
  • Reassigned Medicare billing, Iowa, South Carolina, Washington and Wisconsin enrollments
  • Also billed through NPI 1740841188 (Wisconsin)
  • 61 clinicians in this Medicare group
Family Medicine
25 MARSTON ST STE 301
Lawrence, MA 01841
  • Reassigned Medicare billing, Massachusetts enrollment
  • 305 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
320 N EISENHOWER AVE
Mason City, IA 50401
  • Reassigned Medicare billing, Iowa enrollment
  • 37 clinicians in this Medicare group

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.

Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
41 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29681 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 3

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

Marriage & Family Therapist
106 W GEORGIA RD
SIMPSONVILLE, SC 29681
Counselor (Professional)
106 W GEORGIA RD
SIMPSONVILLE, SC 29681
Counselor (Mental Health)
106 W GEORGIA RD
SIMPSONVILLE, SC 29681

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 Christina Blake's NPI number?

The NPI number for Christina Blake is 1245765841. It was assigned to this individual provider in the NPPES registry on April 21, 2017.

Where is Christina Blake located?

Christina Blake practices at 106 W Georgia Rd, Simpsonville, SC 29681. The listed phone number is (864) 662-6840.

What is Christina Blake's specialty?

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

Is Christina Blake enrolled in Medicare?

Yes. Christina Blake is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Christina Blake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christina Blake reassigns Medicare benefits to 7 organizations: Root Integrative Psychiatry (Mauldin, SC), Integrated Telehealth Medicine PC (Oceanside, NY), Watertown Physician Practices LLC (Watertown, WI), Broadlawns Medical Center (Des Moines, IA), Evizzit Of Iowa Psychiatry PC (West Des Moines, IA) and 2 more organizations, listed in the Medicare section above. 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 Christina Blake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Christina Blake accept?

Health plans from BridgeSpan Health Company, CareSource (Common Ground Healthcare), Oscar Health, Quartz and Regence BlueCross BlueShield of Utah and 1 other insurer list Christina Blake 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 Christina Blake was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.