AUDREY BLAINE F.N.P
NPI 1629311964
Nurse Practitioner - Family in Chula Vista, CA

Q: What is Audrey Blaine's NPI number?

The NPI number for Audrey Blaine is 1629311964. It was assigned to this individual provider in the NPPES registry on April 5, 2013.

Q: What is Audrey Blaine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Audrey Blaine was last updated on September 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 05, 2013PECOS Enrolled

751 MEDICAL CENTER CT, CHULA VISTA, CA 91911(619) 502-5800 Get Directions Write a Review

NPPES record last updated: September 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Audrey Blaine F.n.p NPPES

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

AUDREY BLAINE F.N.P (NPI 1629311964) is an individual family provider in Chula Vista, California, licensed in California (21933) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629311964

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAUDREY BLAINECredential: F.N.P

Location Address751 MEDICAL CENTER CTChula Vista, CA 91911-6617

Mailing Address1535 Northrim Ct Unit 258San Diego, CA 92111-7338

Phone(619) 502-5800

Sole ProprietorYes

Enumeration DateApril 5, 2013

Last NPPES UpdateSeptember 4, 2021

NPPES CertifiedSeptember 4, 2021

✔ NPI 1629311964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 21933

751 MEDICAL CENTER CT, Chula Vista, CA 91911

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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)

Audrey Blaine F.n.p 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 91911 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

LINDA HELEN MARSHALL FNP-C

Nurse Practitioner (Family)