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KAREN HEJTMANCIK BLAKLEY ACNS-BC
NPI 1619201134
Clinical Nurse Specialist - Adult Health in Austin, TX

Active since September 30, 2009PECOS EnrolledAccepts Medicare Assignment
85.67/100
CMS Quality Rating
2559 WESTERN TRAILS BLVD, SUITE 200, AUSTIN, TX 78745(512) 420-9900(512) 420-9043 Get Directions Write a Review

NPPES record last updated: December 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karen Hejtmancik Blakley Acns-bc NPPES

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

KAREN HEJTMANCIK BLAKLEY ACNS-BC (NPI 1619201134) is an individual adult health provider in Austin, Texas, licensed in Texas (746798) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, is affiliated with St David's Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1619201134
Entity TypeIndividualFemale
Primary Taxonomy364SA2200X
Provider Legal NameKAREN HEJTMANCIK BLAKLEYCredential: ACNS-BC
Location Address2559 WESTERN TRAILS BLVD, SUITE 200Austin, TX 78745-1554
Mailing Address7800 Shoal Creek Blvd, Suite 205nAustin, TX 78757-1098 · (512) 206-4341 · Fax (512) 420-9043
Phone(512) 420-9900
Fax(512) 420-9043
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 30, 2009
Last NPPES UpdateDecember 2, 2016
✔ NPI 1619201134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SA2200X
License✔ Licensed in TX · 746798
2559 WESTERN TRAILS BLVD, Austin, TX 78745
Open in Google Maps ↗

Other Identifiers 1

Medicaid2095259-01TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Karen Hejtmancik Blakley Acns-bc 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 ID3375682032
PECOS Enrollment IDI20091209000512
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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
302 services228 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
99 services73 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78745 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality83.15
Improvement Activities40

Reported Quality Measures

Controlling High Blood Pressure
69%500 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
27%96 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%1,313 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
96%516 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
33%349 patients3/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
85%506 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 536 patients
Patients totalRate: 5% · 536 patients
5%536 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 17

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
22 suppliers535 claims535 services$34.61 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
22 suppliers400 claims400 services$79.79 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
19 suppliers414 claims1,108 services$29.62 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
19 suppliers323 claims1,606 services$16.17 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
15 suppliers189 claims1,019 services$13.64 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
23 suppliers486 claims486 services$50.31 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 5

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

DR. STACI R IANIRO D.D.S.
Dentist (Endodontics)
2559 WESTERN TRAILS BLVD, SUITE 302
AUSTIN, TX 78745
Travis County (512) 439-5755
NORMAN E RISINGER M.D.
Internal Medicine (Cardiovascular Disease)
2559 WESTERN TRAILS BLVD, STE 100
AUSTIN, TX 78745
Travis County (512) 899-2028
MRS. HEIDI A BOLLOCK CNS
Clinical Nurse Specialist (Adult Health)
2559 WESTERN TRAILS BLVD, STE. 200
AUSTIN, TX 78745
Travis County (512) 899-2028
DR. BLAKELY S RICHARDSON D.O.
Dermatology
2559 WESTERN TRAILS BLVD, SUITE 301
AUSTIN, TX 78745
Travis County (512) 815-2559
STANLEY SUCHY WANG M.D. J.D. M.P.H.
Internal Medicine (Cardiovascular Disease)
2559 WESTERN TRAILS BLVD, SUITE 100
AUSTIN, TX 78745
Travis County (512) 899-2028

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 Karen Blakley's NPI number?

The NPI number for Karen Blakley is 1619201134. It was assigned to this individual provider in the NPPES registry on September 30, 2009.

Where is Karen Blakley located?

Karen Blakley practices at 2559 Western Trails Blvd Suite 200, Austin, TX 78745. The listed phone number is (512) 420-9900.

What is Karen Blakley's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

Is Karen Blakley enrolled in Medicare?

Yes. Karen Blakley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Karen Blakley accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Karen Blakley 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.

Is Karen Blakley affiliated with any hospitals?

According to CMS data, Karen Blakley is affiliated with St David's Medical Center.

When was this NPI record last updated?

The NPPES record for Karen Blakley was last updated on December 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.