CHRISTIAN CONSTANCE BLACKWELL RN MSN NP-C
NPI 1922494657
Nurse Practitioner in Fort Walton Beach, FL

Q: What is Christian Blackwell's NPI number?

The NPI number for Christian Blackwell is 1922494657. It was assigned to this individual provider in the NPPES registry on April 9, 2015. The provider is also known as Christian Constance Carroll.

Q: What is Christian Blackwell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since April 09, 2015PECOS EnrolledAccepts Medicare Assignment

1005 MAR WALT DRIVE, INTERNAL MEDICINE DEPARTMENT, FORT WALTON BEACH, FL 32547(850) 863-8202(850) 862-6148 Get Directions Write a Review

NPPES record last updated: September 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 25, 2019, Jul 19, 2019, Aug 22, 2017 (3 updates tracked since 2017).

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About Christian Constance Blackwell Rn Msn Np-c NPPES

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

CHRISTIAN CONSTANCE BLACKWELL RN MSN NP-C (NPI 1922494657) is an individual nurse practitioner in Fort Walton Beach, Florida, licensed in Florida (APRN9171045) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Fort Walton-destin Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1922494657

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCHRISTIAN CONSTANCE BLACKWELLCredential: RN MSN NP-C

Location Address1005 MAR WALT DRIVE, INTERNAL MEDICINE DEPARTMENTFort Walton Beach, FL 32547-6707

Mailing Address1005 Mar Walt DrFort Walton Beach, FL 32547-6707 · (850) 863-8100 · Fax (850) 863-8548

Phone(850) 863-8202

Fax(850) 862-6148

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateApril 9, 2015

Last NPPES UpdateSeptember 25, 20193 updates tracked since enumeration

✔ NPI 1922494657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · APRN9171045

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1005 MAR WALT DRIVE, Fort Walton Beach, FL 32547

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Other Names 1

Former Name (1)Christian Constance Carroll

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Christian Constance Blackwell Rn Msn Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991064354

PECOS Enrollment IDI20191018001468

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.

Areas of Expertise CMS Part B claims 6

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

110 services11 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

67 services57 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

21 services21 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

17 services17 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

17 services17 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida Fort Walton-Destin Hospital

Acute Care Hospitals · Fort Walton Beach, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100223

Location1000 Mar-Walt DrFort Walton Beach, FL 32547 · Okaloosa County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32547 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$34.10 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$169.80 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

TIMOTHY DAVID SKINNER AU.D.

Audiologist

1005 MAR WALT DRIVE, AUDIOLOGY DEPARTMENT
FORT WALTON BEACH, FL 32547

Okaloosa County (850) 863-8232

JULIE CLAUSEN POWELL FNP-BC

Nurse Practitioner (Family)

1005 MAR WALT DRIVE, CVS MINUTE CLINIC
FORT WALTON BEACH, FL 32547

Okaloosa County (850) 863-8219

HEATHER LUTZ SHELTON ARNP

Nurse Practitioner

1005 MAR WALT DRIVE, PEDIATRIC DEPARTMENT
FORT WALTON BEACH, FL 32547

Okaloosa County (850) 863-8203

DEBORAH LYNN GILMORE ARNP

Nurse Practitioner (Adult Health)

1005 MAR WALT DRIVE, PULMONOLOGY DEPARTMENT
FORT WALTON BEACH, FL 32547

Okaloosa County (850) 243-0118

CHINH VIEN VAN M.D.

Family Medicine

1005 MAR WALT DRIVE, IMMEDIATE CARE DEPARTMENT
FORT WALTON BEACH, FL 32547

Okaloosa County (850) 863-8219

MS. ELIZABETH GAYLE ANDERSON ARNP-C

Nurse Practitioner

1005 MAR WALT DRIVE, CARE COORDINATION DEPARTMENT
FORT WALTON BEACH, FL 32547

Okaloosa County (850) 863-8202

ERICA CLARKSON

Nurse Practitioner

1005 MAR WALT DRIVE, FAMILY MEDICINE DEPT
FORT WALTON BEACH, FL 32547

Okaloosa County (850) 863-6600

DR. LESLIE R FLEISCHER M.D.

Internal Medicine (Cardiovascular Disease)

1005 MAR WALT DRIVE, CARDIOLOGY DEPARTMENT
FORT WALTON BEACH, FL 32547

Okaloosa County (850) 863-8294

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 Christian Blackwell's NPI number?

The NPI number for Christian Blackwell is 1922494657. It was assigned to this individual provider in the NPPES registry on April 9, 2015. The provider is also known as Christian Constance Carroll.

Where is Christian Blackwell located?

Christian Blackwell practices at 1005 Mar Walt Drive Internal Medicine Department, Fort Walton Beach, FL 32547. The listed phone number is (850) 863-8202.

What is Christian Blackwell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Christian Blackwell enrolled in Medicare?

Yes. Christian Blackwell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Christian Blackwell affiliated with any hospitals?

According to CMS data, Christian Blackwell is affiliated with Hca Florida Fort Walton-Destin Hospital.

When was this NPI record last updated?

The NPPES record for Christian Blackwell was last updated on September 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.