BLAZE FAHNESTOCK FNP
NPI 1386246692
Nurse Practitioner in Pulaski, NY

Q: What is Blaze Fahnestock's NPI number?

The NPI number for Blaze Fahnestock is 1386246692. It was assigned to this individual provider in the NPPES registry on November 11, 2020. The provider is also known as Blaze Kravec.

Q: What is Blaze Fahnestock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Blaze Fahnestock was last updated on February 13, 2023. 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.

Active since November 11, 2020PECOS EnrolledAccepts Medicare Assignment

61 DELANO ST, PULASKI, NY 13142(315) 298-6569 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 13, 2023, Nov 11, 2020 (2 updates tracked since 2020).

On this page

About Blaze Fahnestock Fnp NPPES

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

BLAZE FAHNESTOCK FNP (NPI 1386246692) is an individual nurse practitioner in Pulaski, New York, licensed in New York (346711) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Samaritan Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1386246692

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameBLAZE FAHNESTOCKCredential: FNP

Location Address61 DELANO STPulaski, NY 13142-1400

Mailing Address61 Delano StPulaski, NY 13142-1400 · (315) 298-6569

Phone(315) 298-6569

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateNovember 11, 2020

Last NPPES UpdateFebruary 13, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2023

✔ NPI 1386246692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NY · 346711

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

61 DELANO ST, Pulaski, NY 13142

Open in Google Maps ↗

Other Names 1

Former Name (1)Blaze Kravec

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

Blaze Fahnestock Fnp 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 ID1355753229

PECOS Enrollment IDI20201217001211

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.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

28 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Samaritan Medical Center

Acute Care Hospitals · Watertown, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330157

Location830 Washington StreetWatertown, NY 13601 · Jefferson County

Emergency services Birthing friendly

Oswego Hospital

Acute Care Hospitals · Oswego, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330218

Location110 West Sixth StreetOswego, NY 13126 · Oswego County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13142 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$174.46 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CAITLIN TAYLOR CORRICE PT

Physical Therapist (Orthopedic)