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JUDITH ELISA BLAKELY APRN: PSYCHIATRY
NPI 1205185055
Nurse Practitioner - Psychiatric/Mental Health in Queensbury, NY

Active since September 06, 2012PECOS Enrolled
375 BAY RD, QUEENSBURY, NY 12804(518) 480-7870 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 7, 2022, Jun 23, 2020, Apr 13, 2020 (3 updates tracked since 2020).

About Judith Elisa Blakely Aprn: Psychiatry NPPES

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

JUDITH ELISA BLAKELY APRN: PSYCHIATRY (NPI 1205185055) is an individual psychiatric/mental health provider in Queensbury, New York, licensed in Vermont (026.0015348) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205185055
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJUDITH ELISA BLAKELYCredential: APRN: PSYCHIATRY
Location Address375 BAY RDQueensbury, NY 12804-3012
Mailing Address375 Bay RdQueensbury, NY 12804-3012 · (518) 480-7870
Phone(518) 480-7870
Sole ProprietorNo
Enumeration DateSeptember 6, 2012
Last NPPES UpdateDecember 7, 20223 updates tracked since enumeration
NPPES CertifiedDecember 5, 2022
✔ NPI 1205185055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VT · 026.0015348
375 BAY RD, Queensbury, NY 12804
Open in Google Maps ↗

Other Names 1

Former Name (1)Judith Young Rn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Judith Elisa Blakely Aprn: Psychiatry 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12804 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.

MORGAN GUNTER
Social Worker
375 BAY RD
QUEENSBURY, NY 12804
Warren County (518) 292-5494
CATRINA GIORGIO LMSW
Social Worker
375 BAY RD
QUEENSBURY, NY 12804
Warren County (518) 426-2600
ADIRONDACK DIAGNOSTIC IMAGING OF QUEENSBURY
Clinic/Center (Magnetic Resonance Imaging (MRI))
375 BAY RD
QUEENSBURY, NY 12804
Warren County (518) 792-1700
SHAYNA ESPINAL LMSW
Social Worker
375 BAY RD
QUEENSBURY, NY 12804
Warren County (518) 741-0043
STEVEN JOHN BORDEN LMFT
Marriage & Family Therapist
375 BAY RD
QUEENSBURY, NY 12804
Warren County (518) 480-7870
DR. STEVEN KARP M.D.
Otolaryngology
375 BAY RD, SUITE 103
QUEENSBURY, NY 12804
Warren County (518) 798-3436
MADYSEN ELIZABETH AUDET
Registered Nurse (Psychiatric/Mental Health, Adult)
375 BAY RD
QUEENSBURY, NY 12804
Warren County (518) 741-0043
DANIELLE CORNELL LMSW
Social Worker
375 BAY RD
QUEENSBURY, NY 12804
Warren County (518) 292-5499

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 Judith Blakely's NPI number?

The NPI number for Judith Blakely is 1205185055. It was assigned to this individual provider in the NPPES registry on September 6, 2012. The provider is also known as Judith Young Rn.

Where is Judith Blakely located?

Judith Blakely practices at 375 Bay Rd, Queensbury, NY 12804. The listed phone number is (518) 480-7870.

What is Judith Blakely's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Judith Blakely enrolled in Medicare?

Yes. Judith Blakely is registered in the Medicare PECOS enrollment system.

What insurance does Judith Blakely accept?

Health plans from Providence Health Plan list Judith Blakely as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Judith Blakely was last updated on December 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.