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MRS. KAITLYN LOUISE BLOISE CPNP-PC
NPI 1114747334
Nurse Practitioner - Pediatrics in Albany, NY

Active since October 14, 2024PECOS Enrolled
6 EXECUTIVE PARK DR, ALBANY, NY 12203(518) 641-6319(518) 641-6850 Get Directions Write a Review

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

About Mrs. Kaitlyn Louise Bloise Cpnp-pc NPPES

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

MRS. KAITLYN LOUISE BLOISE CPNP-PC (NPI 1114747334) is an individual pediatrics provider in Albany, New York, licensed in New York (383609) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114747334
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. KAITLYN LOUISE BLOISECredential: CPNP-PC
Location Address6 EXECUTIVE PARK DRAlbany, NY 12203-3791
Mailing Address6 Wellness Way Ste 201Latham, NY 12110-2156 · (518) 782-3700
Phone(518) 641-6319
Fax(518) 641-6850
Sole ProprietorNo
Enumeration DateOctober 14, 2024
Last NPPES UpdateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
✔ NPI 1114747334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · 383609
6 EXECUTIVE PARK DR, Albany, NY 12203
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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)

Mrs. Kaitlyn Louise Bloise Cpnp-pc 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 Kaitlyn Bloise reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Care Physicians, PLLC
7.1 mi
Internal Medicine
6 WELLNESS WAY STE 201
Latham, NY 12110
  • Reassigned Medicare billing, New York enrollment
  • 474 clinicians in this Medicare group
NPI 1922048370 (518) 782-3700

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 12203 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

COURTNEY CASSANDRA PECK FNP-BC
Nurse Practitioner (Family)
6 EXECUTIVE PARK DR
ALBANY, NY 12203
Albany County (518) 641-6319
JOHN CEVERA MD
Specialist
6 EXECUTIVE PARK DR, ENTR C
ALBANY, NY 12203
Albany County (518) 482-9111
SUSAN REST AU. D
Audiologist
6 EXECUTIVE PARK DR
ALBANY, NY 12203
Albany County (518) 482-9111
BARBARA SMITH NP
Nurse Practitioner
6 EXECUTIVE PARK DR, ENTR C
ALBANY, NY 12203
Albany County (518) 482-9111
JULIE SPEAR SCHERER CPNP-PC
Nurse Practitioner (Pediatrics)
6 EXECUTIVE PARK DR
ALBANY, NY 12203
Albany County (518) 452-1337
JOHN EDMUND PICKERING X
Speech-Language Pathologist
6 EXECUTIVE PARK DR
ALBANY, NY 12203
Albany County (518) 482-9111
DR. JOHN D KOPP MD
Specialist
6 EXECUTIVE PARK DR
ALBANY, NY 12203
Albany County (518) 482-9111
BOZENA STRZALKOWSKI, M.D.
Pediatrics
6 EXECUTIVE PARK DR
ALBANY, NY 12203
Albany County (518) 453-9641

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 Kaitlyn Bloise's NPI number?

The NPI number for Kaitlyn Bloise is 1114747334. It was assigned to this individual provider in the NPPES registry on October 14, 2024.

Where is Kaitlyn Bloise located?

Kaitlyn Bloise practices at 6 Executive Park Dr, Albany, NY 12203. The listed phone number is (518) 641-6319.

What is Kaitlyn Bloise's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kaitlyn Bloise enrolled in Medicare?

Yes. Kaitlyn Bloise is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kaitlyn Bloise's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlyn Bloise reassigns Medicare benefits to Community Care Physicians, PLLC (Latham, NY). 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 Kaitlyn Bloise'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 Kaitlyn Bloise was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.