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KATIE BLAZUSIAK
NPI 1033589205
Nurse Practitioner - Gerontology in Bethlehem, PA

Active since October 01, 2015PECOS Enrolled
1565 LINDEN ST, BETHLEHEM, PA 18017(610) 867-5365(610) 867-5366 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 31, 2021, Oct 1, 2015 (2 updates tracked since 2015).

About Katie Blazusiak NPPES

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

KATIE BLAZUSIAK (NPI 1033589205) is an individual gerontology provider in Bethlehem, Pennsylvania, licensed in Pennsylvania (SP015421) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033589205
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKATIE BLAZUSIAK
Location Address1565 LINDEN STBethlehem, PA 18017-4744
Mailing Address1565 Linden StBethlehem, PA 18017-4744 · (610) 867-5365 · Fax (610) 867-5366
Phone(610) 867-5365
Fax(610) 867-5366
Sole ProprietorNo
Enumeration DateOctober 1, 2015
Last NPPES UpdateMarch 31, 20212 updates tracked since enumeration
NPPES CertifiedMarch 31, 2021
✔ NPI 1033589205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in PA · SP015421
1565 LINDEN ST, Bethlehem, PA 18017
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katie Blazusiak is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Katie Blazusiak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novus Adult Care Services Inc.
Same address
Adult Health
1565 LINDEN ST
Bethlehem, PA 18017
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 13 clinicians in this Medicare group
NPI 1679931349 (610) 867-5365
Lehigh Valley Physician Group
0.4 mi
Internal Medicine
1 E ELIZABETH AVE
Bethlehem, PA 18018
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,895 clinicians in this Medicare group
NPI 1649414236 (610) 865-4131

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18017 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

MR. SHAUN RICHARD BARCAVAGE FNP-BC
Nurse Practitioner (Family)
1565 LINDEN ST
BETHLEHEM, PA 18017
Northampton County (610) 867-5365
MARIE FITZGIBBON CRNP
Nurse Practitioner (Adult Health)
1565 LINDEN ST, NOVUS ADULT CARE SERVICE
BETHLEHEM, PA 18017
Northampton County (610) 746-6420
THO VAN TRAN
Dentist (General Practice)
1565 LINDEN ST
BETHLEHEM, PA 18017
Northampton County (610) 868-0601
MR. ALLEN CHARLES SMITH III CRNP
Nurse Practitioner (Acute Care)
1565 LINDEN ST
BETHLEHEM, PA 18017
Northampton County (610) 867-5365
NOVUS ADULT CARE SERVICES INC.
Nurse Practitioner (Adult Health)
1565 LINDEN ST
BETHLEHEM, PA 18017
Northampton County (610) 867-5365
MS. SUSANA ENRIQUETA GARCIA CRNP
Nurse Practitioner (Adult Health)
1565 LINDEN ST
BETHLEHEM, PA 18017
Northampton County (610) 867-5365
NOVUS PHARMACY SERVICES
Pharmacy
1565 LINDEN ST
BETHLEHEM, PA 18017
Northampton County (610) 867-5365

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 Katie Blazusiak's NPI number?

The NPI number for Katie Blazusiak is 1033589205. It was assigned to this individual provider in the NPPES registry on October 1, 2015.

Where is Katie Blazusiak located?

Katie Blazusiak practices at 1565 Linden St, Bethlehem, PA 18017. The listed phone number is (610) 867-5365.

What is Katie Blazusiak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Katie Blazusiak enrolled in Medicare?

Yes. Katie Blazusiak is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Katie Blazusiak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katie Blazusiak reassigns Medicare benefits to 2 organizations: Novus Adult Care Services Inc. (Bethlehem, PA) and Lehigh Valley Physician Group (Bethlehem, PA). 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 Katie Blazusiak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katie Blazusiak was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.