ALICIA R BLANKENDAAL CRNA
NPI 1033449210
Nurse Anesthetist, Certified Registered in Nashville, TN

Active since January 11, 2010PECOS EnrolledAccepts Medicare Assignment
82.47/100
CMS Quality Rating
110 29TH AVE N, STE 202, NASHVILLE, TN 37203(615) 327-4304(615) 327-7940 Get Directions Write a Review

NPPES record last updated: January 11, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alicia R Blankendaal Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALICIA R BLANKENDAAL CRNA (NPI 1033449210) is an individual nurse anesthetist, certified registered in Nashville, Tennessee, licensed in Tennessee (14553) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS, is affiliated with Owensboro Health Regional Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1033449210
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameALICIA R BLANKENDAALCredential: CRNA
Location Address110 29TH AVE N, STE 202Nashville, TN 37203-1401
Mailing Address110 29th Ave N, Ste 202Nashville, TN 37203-1401 · (615) 327-4304 · Fax (615) 327-7940
Fax(615) 327-7940
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 11, 2010
✔ NPI 1033449210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in TN · 14553
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
110 29TH AVE N, Nashville, TN 37203

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alicia R Blankendaal Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062549553
PECOS Enrollment IDI20160127001134
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Alicia Blankendaal reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
1201 PLEASANT VALLEY RD
Owensboro, KY 42303
  • Reassigned Medicare billing, Kentucky enrollment
  • 137 clinicians in this Medicare group
Anesthesiology
4000 KRESGE WAY
Louisville, KY 40207
  • Reassigned Medicare billing, Kentucky enrollment
  • 125 clinicians in this Medicare group
Anesthesiology
150 N EAGLE CREEK DR
Lexington, KY 40509
  • Reassigned Medicare billing, Kentucky enrollment
  • 462 clinicians in this Medicare group
Anesthesiology
206 2ND ST E
Bradenton, FL 34208
  • Reassigned Medicare billing, Kentucky enrollment
  • 158 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Owensboro Health Regional Hospital

Acute Care Hospitals · Owensboro, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180038
Location1201 Pleasant Valley RoadOwensboro, KY 42303 · Daviess County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.54
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
110 29TH AVE N, STE 202
NASHVILLE, TN 37203
Anesthesiology
110 29TH AVE N, STE 202
NASHVILLE, TN 37203
Anesthesiology
110 29TH AVE N, STE 202
NASHVILLE, TN 37203
Nurse Anesthetist, Certified Registered
110 29TH AVE N, STE 202
NASHVILLE, TN 37203
Nurse Anesthetist, Certified Registered
110 29TH AVE N, SUITE 202
NASHVILLE, TN 37203
Nurse Anesthetist, Certified Registered
110 29TH AVE N, SUITE 202
NASHVILLE, TN 37203
Anesthesiology
110 29TH AVE N, SUITE 202
NASHVILLE, TN 37203
Nurse Anesthetist, Certified Registered
110 29TH AVE N, STE 202
NASHVILLE, TN 37203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alicia Blankendaal's NPI number?

The NPI number for Alicia Blankendaal is 1033449210. It was assigned to this individual provider in the NPPES registry on January 11, 2010.

Where is Alicia Blankendaal located?

Alicia Blankendaal practices at 110 29th Ave N Ste 202, Nashville, TN 37203. The listed phone number is (615) 327-4304.

What is Alicia Blankendaal's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Alicia Blankendaal enrolled in Medicare?

Yes. Alicia Blankendaal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Alicia Blankendaal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Blankendaal reassigns Medicare benefits to 4 organizations: Ad Of Kentucky PLLC (Owensboro, KY), Northstar Anesthesia Of Kentucky, PLLC (Louisville, KY), Commonwealth Anesthesia, Psc (Lexington, KY) and Anesthesia Dynamics LLC (Bradenton, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alicia Blankendaal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Alicia Blankendaal affiliated with any hospitals?

According to CMS data, Alicia Blankendaal is affiliated with Owensboro Health Regional Hospital.

When was this NPI record last updated?

The NPPES record for Alicia Blankendaal was last updated on January 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.