1. Home
  2. Directory
  3. New York
  4. Rochester
  5. Physician Assistant
  6. NPI Profile

VICTORIA BLAKER NP
NPI 1104482447
Physician Assistant - Medical in Rochester, NY

Active since May 13, 2019PECOS Enrolled
95.19/100
CMS Quality Rating
1555 LONG POND RD, ROCHESTER, NY 14626(585) 723-7005(585) 723-7045 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 22, 2021, Oct 31, 2019, May 13, 2019 (3 updates tracked since 2019).

About Victoria Blaker Np NPPES

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

VICTORIA BLAKER NP (NPI 1104482447) is an individual medical provider in Rochester, New York, licensed in New York (024210) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104482447
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameVICTORIA BLAKERCredential: NP
Location Address1555 LONG POND RDRochester, NY 14626-4122
Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · (585) 723-7005
Phone(585) 723-7005
Fax(585) 723-7045
Sole ProprietorNo
Enumeration DateMay 13, 2019
Last NPPES UpdateApril 22, 20213 updates tracked since enumeration
NPPES CertifiedApril 22, 2021
✔ NPI 1104482447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 024210
1555 LONG POND RD, Rochester, NY 14626
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victoria Blaker Np 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
23 services23 patients

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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
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.

MACKENZIE R. PETTINELLA PA
Physician Assistant (Medical)
1555 LONG POND RD, DEPT. OF MEDICINE
ROCHESTER, NY 14626
Monroe County (585) 723-7870
FAROOQ CHAUDHARY MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7746
FATHI ABOKALAWA MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7746
ELIZABETH GRACE WYGONIK PA-C
Physician Assistant
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
YOUSEF WALY MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
MARINA TAKAWY MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
KELCY WILDT PA
Physician Assistant
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
JEFF YANG MD
Emergency Medicine
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7070

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 Victoria Blaker's NPI number?

The NPI number for Victoria Blaker is 1104482447. It was assigned to this individual provider in the NPPES registry on May 13, 2019.

Where is Victoria Blaker located?

Victoria Blaker practices at 1555 Long Pond Rd, Rochester, NY 14626. The listed phone number is (585) 723-7005.

What is Victoria Blaker's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Victoria Blaker enrolled in Medicare?

Yes. Victoria Blaker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Victoria Blaker was last updated on April 22, 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.