ALENA BLAIN CRNP
NPI 1659018125
Nurse Practitioner - Family in Doylestown, PA

Q: What is Alena Blain's NPI number?

The NPI number for Alena Blain is 1659018125. It was assigned to this individual provider in the NPPES registry on May 17, 2022.

Q: What is Alena Blain's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Alena Blain was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 17, 2022PECOS EnrolledAccepts Medicare Assignment

3956 AMBERTON CT, DOYLESTOWN, PA 18902(917) 388-0381 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Alena Blain Crnp NPPES

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

ALENA BLAIN CRNP (NPI 1659018125) is an individual family provider in Doylestown, Pennsylvania, licensed in Pennsylvania (SP025354) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Einstein Medical Center Montgomery, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1659018125

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameALENA BLAINCredential: CRNP

Location Address3956 AMBERTON CTDoylestown, PA 18902-1242

Mailing Address3956 Amberton CtDoylestown, PA 18902-1242 · (917) 388-0381

Phone(917) 388-0381

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateMay 17, 2022

NPPES CertifiedMay 17, 2022

✔ NPI 1659018125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in PA · SP025354

3956 AMBERTON CT, Doylestown, PA 18902

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Alena Blain Crnp 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 ID4183099922

PECOS Enrollment IDI20230411000109

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 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.

120 services85 patients

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.

83 services76 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

Einstein Medical Center Montgomery

Acute Care Hospitals · East Norriton, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390329

Location559 West Germantown PikeEast Norriton, PA 19403 · Montgomery County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18902 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

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 Alena Blain's NPI number?

The NPI number for Alena Blain is 1659018125. It was assigned to this individual provider in the NPPES registry on May 17, 2022.

Where is Alena Blain located?

Alena Blain practices at 3956 Amberton Ct, Doylestown, PA 18902. The listed phone number is (917) 388-0381.

What is Alena Blain's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alena Blain enrolled in Medicare?

Yes. Alena Blain 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 Alena Blain accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Alena Blain 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 Alena Blain affiliated with any hospitals?

According to CMS data, Alena Blain is affiliated with Einstein Medical Center Montgomery.

When was this NPI record last updated?

The NPPES record for Alena Blain was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.