Blaine Van Ausdeln, FNP-C, M.S

ActiveIndividual ProviderNurse Practitioner
NPI issued: June 16, 2005

Quick Facts

NPI Number
1194720144
TypeIndividual
StatusActive
SpecialtyNurse Practitioner
Taxonomy363LF0000X — Nurse Practitioner
Phone
(209) 476-3569
StateCA

NPI Validation Status: Verified

Valid 10-digit NPI number (1194720144)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (June 16, 2005)
Data source: CMS NPPES

Provider Overview

BLAINE VAN AUSDELN, FNP-C, M.S is a Nurse Practitioner provider based in Stockton, CA who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1194720144
Provider TypeIndividual Provider
GenderMale
CredentialFNP-C, M.S
StatusActive
Enumeration DateJune 16, 2005

Practice Location

CityStockton
StateCA
ZIP Code95210-3377
Phone(209) 476-3569

Specialties & Licenses

★ Primary
SpecialtyNurse Practitioner
Taxonomy Code363LF0000X
License StateCA

Mailing Address

CityStockton
StateCA
ZIP Code95210-3377
Phone(209) 476-3569
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1194720144 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1194720144for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1194720144 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

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224,221
Nurse Practitioner Providers in the US

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People Also Ask

What is Blaine Van Ausdeln's NPI number?
Blaine Van Ausdeln's NPI number is 1194720144, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Blaine Van Ausdeln's NPI currently active?
Yes, Blaine Van Ausdeln's NPI status is Active as of the latest CMS NPPES database updates.
What does Blaine Van Ausdeln specialize in?
Blaine Van Ausdeln specializes in Nurse Practitioner. The healthcare taxonomy code associated with this specialty is 363LF0000X.
Where does Blaine Van Ausdeln practice?
Blaine Van Ausdeln practices in Stockton, CA 95210-3377.
When was Blaine Van Ausdeln's NPI issued?
Blaine Van Ausdeln's NPI was issued on June 16, 2005.
What is Blaine Van Ausdeln's provider type?
Blaine Van Ausdeln is registered as an Individual Provider under CMS NPI Type 1.