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KRISTEN BLACKMON
NPI 1205255932
Family Medicine in New York, NY

Active since April 09, 2014PECOS Enrolled
1824 MADISON AVE, 5TH FLOOR, NEW YORK, NY 10035(212) 423-4500 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kristen Blackmon NPPES

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

KRISTEN BLACKMON (NPI 1205255932) is an individual family medicine provider in New York, New York, licensed in New Jersey (25MA10267800) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205255932
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKRISTEN BLACKMON
Location Address1824 MADISON AVE, 5TH FLOORNew York, NY 10035-3832
Mailing Address1824 Madison Ave, 5th FloorNew York, NY 10035-3832
Phone(212) 423-4500
Sole ProprietorYes
Enumeration DateApril 9, 2014
Last NPPES UpdateOctober 21, 2024
NPPES CertifiedOctober 21, 2024
✔ NPI 1205255932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MA10267800
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1824 MADISON AVE, New York, NY 10035
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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)

Kristen Blackmon 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 Reassignments

3

Medicare enrollment records show Kristen Blackmon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New Jersey Post Acute Medical Services 1 PA
32 mi
Hospitalist
1 RIVERVIEW PLZ
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 37 clinicians in this Medicare group
NPI 1578092391 (865) 693-1000
Nj Pacs 2 PA
34 mi
Hospitalist
84 COLD HILL RD
Mendham, NJ 07945
  • Reassigned Medicare billing, New Jersey enrollment
  • 35 clinicians in this Medicare group
NPI 1740766195 (865) 693-1000
Cs Pacs 3 Northeast, LLC
208 mi
Hospitalist
30 NORTH PL
Frederick, MD 21701
  • Reassigned Medicare billing, New Jersey enrollment
  • 31 clinicians in this Medicare group
NPI 1093598898 (301) 695-6618

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 10035 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

JOSEPH PORTELLI
Student in an Organized Health Care Education/Training Program
1824 MADISON AVE
NEW YORK, NY 10035
New York County (212) 423-4500
ADA UMUBERA MSW
Social Worker
1824 MADISON AVE
NEW YORK, NY 10035
New York County (646) 532-1923
CAITLIN SULLIVAN-POND LMSW
Social Worker
1824 MADISON AVE
NEW YORK, NY 10035
New York County (212) 423-4200
MS. TRA HOANG LMSW
Social Worker
1824 MADISON AVE
NEW YORK, NY 10035
New York County (212) 423-4500
NGOBITAK WILLIAMSON DDS
Dentist (Pediatric Dentistry)
1824 MADISON AVE
NEW YORK, NY 10035
New York County (212) 359-8660
DR. ROSS G HEWITT MD
Internal Medicine (Infectious Disease)
1824 MADISON AVE
NEW YORK, NY 10035
New York County (212) 423-4500
DENISE E TAYLOR LCSW
Social Worker (Clinical)
1824 MADISON AVE
NEW YORK, NY 10035
New York County (212) 423-4500
DR. ROSHANE WRIGHT PH.D
Psychologist (Clinical)
1824 MADISON AVE
NEW YORK, NY 10035
New York County (212) 633-0815

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 Kristen Blackmon's NPI number?

The NPI number for Kristen Blackmon is 1205255932. It was assigned to this individual provider in the NPPES registry on April 9, 2014.

Where is Kristen Blackmon located?

Kristen Blackmon practices at 1824 Madison Ave 5th Floor, New York, NY 10035. The listed phone number is (212) 423-4500.

What is Kristen Blackmon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kristen Blackmon enrolled in Medicare?

Yes. Kristen Blackmon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kristen Blackmon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Blackmon reassigns Medicare benefits to 3 organizations: New Jersey Post Acute Medical Services 1 PA (Red Bank, NJ), Nj Pacs 2 PA (Mendham, NJ) and Cs Pacs 3 Northeast, LLC (Frederick, MD). Each 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 Kristen Blackmon'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 Kristen Blackmon was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.