ROBERT BLAIR PMHNP, RN
NPI 1033896840
Nurse Practitioner - Psychiatric/Mental Health in Massapequa Park, NY

Q: What is Robert Blair's NPI number?

The NPI number for Robert Blair is 1033896840. It was assigned to this individual provider in the NPPES registry on July 3, 2023.

Q: What is Robert Blair's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Robert Blair was last updated on January 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 03, 2023PECOS EnrolledAccepts Medicare Assignment

5100 SUNRISE HWY FL 2, MASSAPEQUA PARK, NY 11762(516) 715-1356 Get Directions Write a Review

NPPES record last updated: January 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Robert Blair Pmhnp, Rn NPPES

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

ROBERT BLAIR PMHNP, RN (NPI 1033896840) is an individual psychiatric/mental health provider in Massapequa Park, New York, licensed in New York (405139) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2023).

NPPES Registry Identity

NPI1033896840

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameROBERT BLAIRCredential: PMHNP, RN

Location Address5100 SUNRISE HWY FL 2Massapequa Park, NY 11762-2935

Mailing Address264 W Pine StLong Beach, NY 11561-1939 · (516) 698-3026

Phone(516) 715-1356

Sole ProprietorYes

Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2023

Enumeration DateJuly 3, 2023

Last NPPES UpdateJanuary 14, 2024

NPPES CertifiedJanuary 14, 2024

✔ NPI 1033896840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · 405139

5100 SUNRISE HWY FL 2, Massapequa Park, NY 11762

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert Blair Pmhnp, Rn 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 ID3678006426

PECOS Enrollment IDI20241031002452

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11762 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

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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.

MICHELLE HEALY

Counselor (Addiction (Substance Use Disorder))