LISA BLASZCZYK CRNP
NPI 1043030471
Nurse Practitioner in Philadelphia, PA

Q: What is Lisa Blaszczyk's NPI number?

The NPI number for Lisa Blaszczyk is 1043030471. It was assigned to this individual provider in the NPPES registry on October 11, 2024.

Q: What is Lisa Blaszczyk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Blaszczyk was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 11, 2024PECOS Enrolled

9815 ROOSEVELT BLVD, PHILADELPHIA, PA 19114(215) 969-4917 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Lisa Blaszczyk Crnp NPPES

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

LISA BLASZCZYK CRNP (NPI 1043030471) is an individual nurse practitioner in Philadelphia, Pennsylvania, licensed in Pennsylvania (RN703832) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043030471

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLISA BLASZCZYKCredential: CRNP

Location Address9815 ROOSEVELT BLVDPhiladelphia, PA 19114-1035

Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-1324

Phone(215) 969-4917

Sole ProprietorNo

Enumeration DateOctober 11, 2024

NPPES CertifiedOctober 11, 2024

✔ NPI 1043030471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in PA · RN703832

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

9815 ROOSEVELT BLVD, Philadelphia, PA 19114

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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)

Lisa Blaszczyk Crnp 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 Reassignment

Medicare enrollment records show Lisa Blaszczyk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stc Pediatrics LLC

0.5 mi

Pediatrics

9501 ROOSEVELT BLVD STE 305
Philadelphia, PA 19114

Reassigned Medicare billing, Pennsylvania enrollment
479 clinicians in this Medicare group

NPI 1184269888 (215) 969-4917

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 19114 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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 20

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

LILY DUNLAP

Counselor (Addiction (Substance Use Disorder))

9815 ROOSEVELT BLVD
PHILADELPHIA, PA 19114

Philadelphia County (610) 644-6464

GINA MCCABE MA

Counselor (Professional)

9815 ROOSEVELT BLVD, SUITE B
PHILADELPHIA, PA 19114

Philadelphia County (610) 644-6464

DR. MATTHEW I YANKOWITZ

Physical Therapist

9815 ROOSEVELT BLVD
PHILADELPHIA, PA 19114

Philadelphia County (215) 677-8200

CHRISTINA GROVES

Counselor (Mental Health)

9815 ROOSEVELT BLVD
PHILADELPHIA, PA 19114

Philadelphia County (610) 644-6464

EMILY HEARN ATR-BC, LPC

Art Therapist

9815 ROOSEVELT BLVD, SUITE B
PHILADELPHIA, PA 19114

Philadelphia County (215) 342-4400

NICOLE RUSSO

Counselor (Addiction (Substance Use Disorder))

9815 ROOSEVELT BLVD
PHILADELPHIA, PA 19114

Philadelphia County (616) 644-6464

MELISSA A. MIGLIAZZA MSW, LSW

Social Worker

9815 ROOSEVELT BLVD, SUITE B
PHILADELPHIA, PA 19114

Philadelphia County (610) 644-6464

GLENN WILLIAM LOEBER

Physical Therapist

9815 ROOSEVELT BLVD
PHILADELPHIA, PA 19114

Philadelphia County (215) 677-8200

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 Lisa Blaszczyk's NPI number?

The NPI number for Lisa Blaszczyk is 1043030471. It was assigned to this individual provider in the NPPES registry on October 11, 2024.

Where is Lisa Blaszczyk located?

Lisa Blaszczyk practices at 9815 Roosevelt Blvd, Philadelphia, PA 19114. The listed phone number is (215) 969-4917.

What is Lisa Blaszczyk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lisa Blaszczyk enrolled in Medicare?

Yes. Lisa Blaszczyk is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisa Blaszczyk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Blaszczyk reassigns Medicare benefits to Stc Pediatrics LLC (Philadelphia, PA). The 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 Lisa Blaszczyk'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 Lisa Blaszczyk was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.