Individual provider Active NPI

Christine H Christensen, APRN

  • Family Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1063019487
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11010291 Issued in FL
Practice address
2000 E Edgewood Dr Ste 112
Lakeland, FL 33803-3639
Phone
(863) 666-3436
Fax
(863) 667-3550
NPI assigned
Oct 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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 APRN11010291 FL Primary

Addresses

Primary practice location

2000 E Edgewood Dr Ste 112
Lakeland, FL 33803-3639

Mailing address

2000 E Edgewood Dr Ste 112
Lakeland, FL 33803-3639
Phone (863) 666-3436

Other practice location 1

1417 Lakeland Hills Blvd Ste 201
Lakeland, FL 33805-3208
Phone (833) 513-7246

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
I20210401000633 FL Practitioner - Nurse Practitioner 6406263821 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Urgent Care, LLC.Group PAC ID 6103841051, 91 clinicians

Practice addresses (Care Compare)

13670 Walsingham Rd
Largo, FL 33774-3532
Phone (727) 593-9848

Merit-based Incentive Payment System (MIPS)

Final score
88.46 of 100Reported as group
Quality
83.12
Promoting interoperability
99
Improvement activities
40
Cost
79.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11010291FLMDFamily Nurse Practitioner

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1063019487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E EDGEWOOD DR STE 112",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033639",
            "telephone_number": "863-666-3436",
            "fax_number": "863-667-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E EDGEWOOD DR STE 112",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033639",
            "telephone_number": "863-666-3436",
            "fax_number": "863-667-3550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1417 Lakeland Hills Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338053208",
            "country_code": "US",
            "telephone_number": "833-513-7246",
            "fax_number": "863-333-4007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "CHRISTINE",
        "middle_name": "H",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.