1. Home
  2. Directory
  3. Florida
  4. Fort Walton Beach
  5. Nurse Practitioner
  6. NPI Profile

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

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: July 19, 2026.

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

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
Open in Google Maps ↗

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 2024 & 2026 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 19

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

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
DR. PHILLIP ASHLEY PYBASS MD
Internal Medicine
1005 MAR WALT DRIVE, INTERNAL MEDICINE DEPARTMENT
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8100
DR. NANCY KING RD
Dietitian, Registered
1005 MAR WALT DRIVE, INTERNAL MEDICINE DEPARTMENT
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8100
POLLA SUE CUNNINGHAM M.D.
Internal Medicine
1005 MAR WALT DRIVE, ADMINISTRATION
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8100
ERICA A. GEORGE-SAINTILUS MD
Family Medicine
1005 MAR WALT DRIVE
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-6600
RYANN VANESSA ENNIS SPEECH/LANGUAGE PATH
Speech-Language Pathologist
1005 MAR WALT DRIVE, OTOLARYNGOLOGY DEPARTMENT
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8275
MELISSA DELSID ARNP, WHNP-BC
Nurse Practitioner (Women's Health)
1005 MAR WALT DRIVE, GYN DEPARTMENT
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8222
CHINH VIEN VAN M.D.
Family Medicine
1005 MAR WALT DRIVE, IMMEDIATE CARE DEPARTMENT
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8219

Frequently Asked Questions

What is Christian Blackwell's NPI number?

The NPI number assigned to this healthcare provider is 1922494657, enumerated as an "individual" on April 09, 2015.

Where is the provider located?

The provider is located at 1005 MAR WALT DRIVE INTERNAL MEDICINE DEPARTMENT FORT WALTON BEACH, FL 32547 and the phone number is (850) 863-8202.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363L00000X.

Is Christian Blackwell affiliated with any hospitals?

Christian Blackwell is affiliated with: HCA FLORIDA FORT WALTON-DESTIN HOSPITAL.