JUDITH ELISA BLAKELY APRN: PSYCHIATRY
NPI 1205185055
Nurse Practitioner - Psychiatric/Mental Health in Queensbury, NY
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
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Judith Elisa Blakely Aprn: Psychiatry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Judith Blakely reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Albany, NY 12208
- Reassigned Medicare billing, New York enrollment
- 77 clinicians in this Medicare group
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 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.
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.
QUEENSBURY, NY 12804
QUEENSBURY, NY 12804
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.
Which organization bills Medicare for Judith Blakely's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Judith Blakely reassigns Medicare benefits to Parsons Child And Family Center (Albany, 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 Judith Blakely'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 Judith Blakely was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Judith Elisa Blakely, APRN: PSYCHIATRY · NPI 1205185055
Psychiatric/Mental Health physician in Queensbury, New York. Individual provider, active in the CMS NPPES registry since September 6, 2012.
## Identity
- **NPI:** 1205185055 (Entity type: Individual)
- **Enumerated:** September 6, 2012
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 026.0015348 (Vermont)
- **Sole proprietor:** No
## Practice location
- **Address:** 375 BAY RD, Queensbury, NY 12804-3012
- **Phone:** (518) 480-7870
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Parsons Child And Family Center (NPI 1922171305, Albany, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 7, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1205185055) · Data from the CMS NPPES public registry.