HOLLY BLICKENSTAFF PA-C
NPI 1174334122
Physician Assistant in Brandon, FL

Q: What is Holly Blickenstaff's NPI number?

The NPI number for Holly Blickenstaff is 1174334122. It was assigned to this individual provider in the NPPES registry on January 17, 2025.

Q: What is Holly Blickenstaff's specialty?

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

Active since January 17, 2025PECOS EnrolledAccepts Medicare Assignment

109 MARGARET ST, BRANDON, FL 33511(813) 654-2544 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Holly Blickenstaff Pa-c NPPES

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

HOLLY BLICKENSTAFF PA-C (NPI 1174334122) is an individual physician assistant in Brandon, Florida and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1174334122

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameHOLLY BLICKENSTAFFCredential: PA-C

Location Address109 MARGARET STBrandon, FL 33511-5203

Mailing Address109 Margaret StBrandon, FL 33511-5203 · (813) 654-2544

Phone(813) 654-2544

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 17, 2025

Last NPPES UpdateOctober 15, 2025

NPPES CertifiedOctober 15, 2025

✔ NPI 1174334122 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.

109 MARGARET ST, Brandon, FL 33511

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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

Holly Blickenstaff Pa-c 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 ID6608363049

PECOS Enrollment IDI20251017001965

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 33511 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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 6

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

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