Christina Ann Blackburn, FNP-C - Medicare Nurse Practitioner in Jay, FL

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Christina Ann Blackburn, FNP-C is a medicare enrolled "Nurse Practitioner" in Jay, Florida. Her current practice location is 4101 James Jernigan Rd, Jay, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 781-4194.

Christina Ann Blackburn is licensed to practice in Florida (license number 11019934) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1871882084.

Contact Information

Christina Ann Blackburn, FNP-C
4101 James Jernigan Rd,
Jay, FL 32565-2517
(850) 781-4194
Not Available

Map and Direction




Provider's Profile

Full NameChristina Ann Blackburn
GenderFemale
SpecialityNurse Practitioner
Location4101 James Jernigan Rd, Jay, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871882084
  • Provider Enumeration Date: 03/29/2011
  • Last Update Date: 06/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1456731603
  • Enrollment ID: I20220705003180

Medical Identifiers

Medical identifiers for Christina Ann Blackburn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871882084NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 9302869 (Florida)Secondary
363LF0000XNurse Practitioner - Family 11019934 (Florida)Secondary
363L00000XNurse Practitioner 11019934 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Christina Ann Blackburn allows following entities to bill medicare on her behalf.
Entity NamePost-acute Physicians Of Florida, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649603465
PECOS PAC ID: 8820223241
Enrollment ID: O20131021000166
Entity NameRadial Health Southeast Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174159891
PECOS PAC ID: 7113357476
Enrollment ID: O20200429000224
Entity NameHospitalist Group Of Northwest Florida Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386385045
PECOS PAC ID: 8224425780
Enrollment ID: O20220502001017

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Christina Ann Blackburn is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Christina Ann Blackburn, FNP-C
4101 James Jernigan Rd,
Jay, FL 32565-2517

Ph: () -		Christina Ann Blackburn, FNP-C
4101 James Jernigan Rd,
Jay, FL 32565-2517

Ph: (850) 781-4194

Reviews and Comments


Nurse Practitioner Nurses in Jay, FL

Mr. Russell Kevin Broxson Jr., FNP BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 14114 Alabama St, Jay, FL 32565
Phone: 850-675-8000    
Mrs. Twyla Cotton, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 14088 Alabama St, Jay, FL 32565
Phone: 850-675-4546    Fax: 850-675-4548

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.