KRISTINE M BLANCHE PA
NPI 1861442287
Physician Assistant - Medical in Key Largo, FL

NPI Status: Active since May 10, 2006

Contact Information

24 SUNSET CAY RD
KEY LARGO, FL
ZIP 33037
Phone: (516) 312-1972

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  • Individual
  • Female
  • Physician Assistant
  • Medical
  • PECOS Enrolled
  • Opted-Out Medicare

About KRISTINE BLANCHE

This page provides the complete NPI Profile along with additional information for Kristine Blanche, a primary care provider established in Key Largo, Florida with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1861442287 assigned on May 2006. The practitioner's primary taxonomy code is 363AM0700X with license number 009513 (NY). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1861442287
Provider Name
KRISTINE M BLANCHE PA
Gender
Female
Entity Type
Individual
Location Address
24 SUNSET CAY RD KEY LARGO, FL 33037
Location Phone
(516) 312-1972
Mailing Address
24 SUNSET CAY RD # ORC KEY LARGO, FL 33037
Mailing Phone
(516) 312-1972
Mailing Fax
Is Sole Proprietor?
No
Enumeration Date
05-10-2006
Last Update Date
11-17-2021
Code Navigator

A primary care provider (PCP) like Kristine Blanche sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Kristine Blanche opted out of Medicare effective on 05-21-2019 until 05-21-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

Location Map

Secondary Locations

  • 140 Willow Ave
    Huntington, NY 11743
    (516) 676-0200

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
009513
License State
NY

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208600000XAllopathic & Osteopathic Physicians

Surgery

009513 (NY)
2363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

PA9114782 (FL)

Medicare Participation & PECOS Enrollment Status

Kristine Blanche is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 05-21-2019

  • Opt-Out End Date: 05-21-2027

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1861442287, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
1
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 2 → 4 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 2 + 1 + 8 + 4 + 4 + 2 + 1 + 6 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1861442287.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861442287, enumerated as an "individual" on May 10, 2006.

The provider is located at 24 SUNSET CAY RD KEY LARGO, FL 33037 and the phone number is (516) 312-1972.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.