MS. PAMELA ROSE BLATKIEWICZ
NPI 1669962304
Nurse Practitioner - Family in Mount Laurel, NJ

Q: What is Pamela Blatkiewicz's NPI number?

The NPI number for Pamela Blatkiewicz is 1669962304. It was assigned to this individual provider in the NPPES registry on May 17, 2018.

Q: What is Pamela Blatkiewicz's specialty?

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

Active since May 17, 2018PECOS EnrolledAccepts Medicare Assignment

81.71/100

CMS Quality Rating

501 FELLOWSHIP RD STE 101, MOUNT LAUREL, NJ 08054(856) 642-2133 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 30, 2018, Jul 2, 2018, May 17, 2018 (3 updates tracked since 2018).

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About Ms. Pamela Rose Blatkiewicz NPPES

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

MS. PAMELA ROSE BLATKIEWICZ (NPI 1669962304) is an individual family provider in Mount Laurel, New Jersey, licensed in New Jersey (26NJ00817900) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and maintains a secondary practice location in Mount Laurel.

NPPES Registry Identity

NPI1669962304

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. PAMELA ROSE BLATKIEWICZ

Location Address501 FELLOWSHIP RD STE 101Mount Laurel, NJ 08054-3419

Mailing Address1 Federal St Ste 200Camden, NJ 08103-1088 · (848) 288-6935

Phone(856) 642-2133

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMay 17, 2018

Last NPPES UpdateNovember 29, 20233 updates tracked since enumeration

NPPES CertifiedNovember 29, 2023

✔ NPI 1669962304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

Licenses✔ Licensed in NJ · 26NJ00817900✔ Licensed in PA · SP018879

Also ListedRegistered NurseTaxonomy 163W00000X · License 26NR18788300 (NJ), RN689771 (PA)

501 FELLOWSHIP RD STE 101, Mount Laurel, NJ 08054

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Secondary Practice Location 1

Location 115000 Midlantic Dr Ste 102Mount Laurel, NJ 08054-1573 · Phone (855) 727-2465

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

Ms. Pamela Rose Blatkiewicz 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 ID8325396419

PECOS Enrollment IDI20180807000009

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 4

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.

55 services45 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

44 services44 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

36 services36 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.

21 services19 patients

Hospital Affiliations CMS Care Compare

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

Cooper University Hospital

Acute Care Hospitals · Camden, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310014

Location1 Cooper PlazaCamden, NJ 08103 · Camden County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08054 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

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.

81.71/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.07

Promoting Interoperability

100

Improvement Activities

Cost

55.39

Reported Quality Measures

Breast Cancer Screening

0%317 patients1/55-star benchmark: 93%

Cervical Cancer Screening

0%347 patients1/55-star benchmark: 98%

Diabetes: Eye Exam

0%27 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

100%27 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

94%2,801 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%178 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

15%730 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

0%718 patients1/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 0% · 727 patients

0%727 patients

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

77%30 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 206 patients

Patients totalRate: 14% · 207 patients

14%207 patients3/55-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.

Other Providers at the Same Location NPPES 15

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

COLLEEN SLOUGH CRNP

Nurse Practitioner