Individual provider Active NPI

Christopher Lee Blair, FNP-BC

  • Family Nurse Practitioner
  • Grand JCT, CO
National Provider Identifier
1821632860
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0994802-NP Issued in CO
Practice address
603 28 1/4 Rd
Grand JCT, CO 81506-6019
Phone
(970) 263-2600
Fax
(970) 263-2692
NPI assigned
Nov 2, 2019
Last updated
Aug 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APN.0994802-NP CO
Family Nurse Practitioner 363LF0000X APN.0994802-NP CO Primary

Addresses

Primary practice location

603 28 1/4 Rd
Grand JCT, CO 81506-6019

Mailing address

PO Box 1727
Grand Junction, CO 81502-1727
Phone (970) 263-2600

Other practice location 1

2478 Patterson Rd Ste 27
Grand Jct, CO 81505-3606
Phone (970) 644-4300

Other practice location 2

603 28 1/4 Rd
Grand Jct, CO 81506-6019
Phone (970) 644-4300

Other practice location 3

2020 N 12th St
Grand Jct, CO 81501-2914
Phone (970) 644-4220

Other practice location 4

551 Kokopelli Blvd Unit F
Fruita, CO 81521-6305
Phone (970) 858-6677

Other identifiers 1

IdentifierTypeStateIssuer
9000180542MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20200326000824 CO Practitioner - Nurse Practitioner 7911336912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Group LLCGroup PAC ID 1052612785, 109 clinicians

Practice addresses (Care Compare)

603 28
Grand JCT, CO 81506-6019
Phone (970) 263-2600

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0994802-NPCOMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Group, LLC Current Accepting new patients
Community Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
Community Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
Western Medical Associates, P.C. Past Accepting new patients
Community Medical Group, LLC Past Accepting new patients
Community Medical Group, LLC Past Accepting new patients

Locations

101 Jurassic Ave
Unit B
Fruita, CO 81521
Phone (970) 858-6677

551 Kokopelli Blvd
Unit F
Fruita, CO 81521
Phone (970) 858-6677

2020 N 12th St
Grand Junction, CO 81501
Phone (970) 245-0484

2478 Patterson Rd
Ste 27
Grand Junction, CO 81505
Phone (970) 644-4300

731 Iowa Ave
Ste A
Palisade, CO 81526
Phone (970) 644-4050

Interoperability endpoints

  • Direct secure messaging: christopherblair@gvpc.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/849/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1572652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1821632860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1727",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815021727",
            "telephone_number": "970-263-2600",
            "fax_number": "970-263-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 28 1/4 RD",
            "city": "GRAND JCT",
            "state": "CO",
            "postal_code": "815066019",
            "telephone_number": "970-263-2600",
            "fax_number": "970-263-2692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2478 Patterson Rd Ste 27",
            "address_purpose": "LOCATION",
            "city": "Grand Jct",
            "state": "CO",
            "postal_code": "815053606",
            "country_code": "US",
            "telephone_number": "970-644-4300",
            "fax_number": "970-263-4323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "603 28 1/4 Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Jct",
            "state": "CO",
            "postal_code": "815066019",
            "country_code": "US",
            "telephone_number": "970-644-4300",
            "fax_number": "970-263-4323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2020 N 12th St",
            "address_purpose": "LOCATION",
            "city": "Grand Jct",
            "state": "CO",
            "postal_code": "815012914",
            "country_code": "US",
            "telephone_number": "970-644-4220",
            "fax_number": "970-263-4239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "551 Kokopelli Blvd Unit F",
            "address_purpose": "LOCATION",
            "city": "Fruita",
            "state": "CO",
            "postal_code": "815216305",
            "country_code": "US",
            "telephone_number": "970-858-6677",
            "fax_number": "970-858-6679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "CHRISTOPHER",
        "middle_name": "LEE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-02",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "APN.0994802-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0994802-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000180542",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand JCT, CO

Sources for this page

Verify at the official NPI Registry.