CHRISTINE O'REILLY BLANK (CAA) – Anesthesiologist Assistant, NPI 1942859251

CHRISTINE O'REILLY BLANK (CAA) is a healthcare provider. based in Jacksonville, Florida. specializing in ANESTHESIOLOGY ASSISTANT. They hold the professional credentials CAA. They hold a License No. AA520 (FL). The NPI Number for CHRISTINE O'REILLY BLANK (CAA) is 1942859251

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINE O'REILLY BLANK (CAA)
NPI
1942859251
Phone
(404) 441-9395
Address
4929 SKYWAY DR APT 5401
Enumeration Date
9 September 2019
Last Update Date
2 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2019 (7 years ago)
PAC ID
2264865286
Group Practice PAC ID
7416869565
Professional Enrollment ID
I20191209000076
Address ID
FL322044748JA1XXXXWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

936 ANESTHESIOLOGY ASSISTANT in FL

Provider Addresses for CHRISTINE O'REILLY BLANK (CAA)

  • 4929 SKYWAY DR APT 5401

    JACKSONVILLE, FL 322460049

    Phone: (404) 441-9395

    Type: Mailing

  • 3316 3rd St S Ste 200

    Jacksonville Beach, FL 322506091

    Phone: (904) 247-8181

    Type: Location

  • 96 RAINBOW TROUT LN

    PONTE VEDRA, FL 320811213

    Phone: (404) 441-9395

    Type: Mailing

  • Saint Vincent's Medical Center Riverside, 1, Shircliff Way, Riverside, Jacksonville, Duval County, Florida, 32204, United States

    JACKSONVILLE, FL 322044748

    Phone: (904) 308-7300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191209000076IAnesthesiology AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00670Anesthesia for extensive surgery on spine1313$0
00910Anesthesia for other procedure on urinary system through urethra1212$0
01402Anesthesia for procedure for total knee joint replacement1212$0
View full utilization report →

Insurance plans in this area (ZIP 32246)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416869565View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
-WI
A N E S T H E S I O L O G YFL
-FL
-FL
A N E S T H E S I O L O G YFL
-FL
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YPA

Reviews

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Frequently asked questions

Is there an official ID for CHRISTINE O'REILLY BLANK (CAA) in U.S. healthcare records?
The official identifier for CHRISTINE O'REILLY BLANK (CAA) is NPI 1942859251.
Would CHRISTINE O'REILLY BLANK (CAA) appear as active to a payer?
You can treat CHRISTINE O'REILLY BLANK (CAA) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to CHRISTINE O'REILLY BLANK (CAA)?
CHRISTINE O'REILLY BLANK (CAA)'s specialty line reads Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
Is CHRISTINE O'REILLY BLANK (CAA) located near Jacksonville?
CHRISTINE O'REILLY BLANK (CAA) currently maps to Jacksonville, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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