Individual provider Active NPI

Christin Bagley

  • Family Nurse Practitioner
  • Orange Park, FL
National Provider Identifier
1023616083
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11009641 Issued in FL
Practice address
906 Blanding Blvd
Orange Park, FL 32065-6206
Phone
(850) 319-1491
NPI assigned
Oct 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11009641 FL Primary

Addresses

Primary practice location

906 Blanding Blvd
Orange Park, FL 32065-6206

Mailing address

906 Blanding Blvd
Orange Park, FL 32065-6206
Phone (904) 213-4444

Other names 1

  • Christin Delaney Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210830001709 FL Practitioner - Nurse Practitioner 9335544303 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

974 Sunny Stroll Dr
Middleburg, FL 32068-3597
Phone (850) 319-1491

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11009641FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Florida Health Center, Inc CurrentSince Jun 29, 2023 Accepting new patients
Legacy Vitality & Wellness LLC Current Accepting new patients

Locations

1025 SW 1st Ave
Ocala, FL 34471
Phone (352) 877-7140

6041 SW 54th St
Ste 100
Ocala, FL 34474
Phone (352) 854-0700

2553 E Silver Springs Blvd
Ocala, FL 34470
Phone (352) 867-0303

Interoperability endpoints

  • Direct secure messaging: christin.delaney@398008301912068.direct.elationemr.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1023616083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 BLANDING BLVD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320656206",
            "telephone_number": "904-213-4444",
            "fax_number": "904-213-9113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 BLANDING BLVD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320656206",
            "telephone_number": "850-319-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGLEY",
        "first_name": "CHRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11009641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIN",
            "last_name": "DELANEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.