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STEPHANIE DAWN BLODGETT PA-C
NPI 1720287170
Physician Assistant in Mission Viejo, CA

Active since July 16, 2007PECOS EnrolledAccepts Medicare Assignment
23962 ALICIA PKWY STE I-1, MISSION VIEJO, CA 92691(949) 452-7699 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Dawn Blodgett Pa-c NPPES

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

STEPHANIE DAWN BLODGETT PA-C (NPI 1720287170) is an individual physician assistant in Mission Viejo, California, licensed in California (PA19213) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1720287170
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSTEPHANIE DAWN BLODGETTCredential: PA-C
Location Address23962 ALICIA PKWY STE I-1Mission Viejo, CA 92691-3940
Mailing Address2100 Powell St, Suite 900Emeryville, CA 94608-1826 · (510) 350-2673
Phone(949) 452-7699
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 16, 2007
Last NPPES UpdateNovember 30, 2021
✔ NPI 1720287170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA19213
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
23962 ALICIA PKWY STE I-1, Mission Viejo, CA 92691
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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

Stephanie Dawn Blodgett Pa-c 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 ID9436243193
PECOS Enrollment IDI20070926000184
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92691 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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

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

VITUITY - URGENT CARE SERVICES PC
Clinic/Center (Urgent Care)
23962 ALICIA PKWY STE I-1
MISSION VIEJO, CA 92691
Orange County (949) 452-7699

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 Stephanie Blodgett's NPI number?

The NPI number for Stephanie Blodgett is 1720287170. It was assigned to this individual provider in the NPPES registry on July 16, 2007.

Where is Stephanie Blodgett located?

Stephanie Blodgett practices at 23962 Alicia Pkwy Ste I-1, Mission Viejo, CA 92691. The listed phone number is (949) 452-7699.

What is Stephanie Blodgett's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Stephanie Blodgett enrolled in Medicare?

Yes. Stephanie Blodgett 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.

When was this NPI record last updated?

The NPPES record for Stephanie Blodgett was last updated on November 30, 2021. 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.