ALICE MARIE BLACKLEY PA
NPI 1124862669
Physician Assistant in Lockport, NY

Active since June 20, 2024PECOS EnrolledAccepts Medicare Assignment
5879 SNYDER DR, LOCKPORT, NY 14094(716) 433-8751 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alice Marie Blackley Pa NPPES

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

ALICE MARIE BLACKLEY PA (NPI 1124862669) is an individual physician assistant in Lockport, New York and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1124862669
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALICE MARIE BLACKLEYCredential: PA
Location Address5879 SNYDER DRLockport, NY 14094-9497
Mailing AddressPo Box 488Buffalo, NY 14240-0488 · (716) 852-4772
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 20, 2024
NPPES CertifiedJune 20, 2024
NPI 1124862669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

5879 SNYDER DR, Lockport, NY 14094

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

Alice Marie Blackley Pa 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 ID3173060217
PECOS Enrollment IDI20240806004328
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
35 services28 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Mount St. Mary's Hospital & Health Center

Acute Care Hospitals · Lewiston, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330188
Location5300 Military RoadLewiston, NY 14092 · Niagara County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14094 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
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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 8

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

Family Medicine
5879 SNYDER DR
LOCKPORT, NY 14094
Family Medicine
5879 SNYDER DR
LOCKPORT, NY 14094
Physician Assistant (Medical)
5879 SNYDER DR
LOCKPORT, NY 14094
Pharmacist (Ambulatory Care)
5879 SNYDER DR
LOCKPORT, NY 14094
Nurse Practitioner (Family)
5879 SNYDER DR
LOCKPORT, NY 14094
Family Medicine
5879 SNYDER DR
LOCKPORT, NY 14094
Family Medicine
5879 SNYDER DR
LOCKPORT, NY 14094
Technician, Other
5879 SNYDER DR
LOCKPORT, NY 14094

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 Alice Blackley's NPI number?

The NPI number for Alice Blackley is 1124862669. It was assigned to this individual provider in the NPPES registry on June 20, 2024.

Where is Alice Blackley located?

Alice Blackley practices at 5879 Snyder Dr, Lockport, NY 14094. The listed phone number is (716) 433-8751.

What is Alice Blackley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alice Blackley enrolled in Medicare?

Yes. Alice Blackley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Alice Blackley affiliated with any hospitals?

According to CMS data, Alice Blackley is affiliated with Kaleida Health and Mount St. Mary's Hospital & Health Center.

When was this NPI record last updated?

The NPPES record for Alice Blackley was last updated on June 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.