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MS. AKIA SHEEMA BLANDON AGNP
NPI 1730673872
Nurse Practitioner - Adult Health in Stroudsburg, PA

Active since June 21, 2018PECOS EnrolledAccepts Medicare Assignment
24 N 7TH ST STE 102, STROUDSBURG, PA 18360(484) 640-5400 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2024, Aug 8, 2024, Dec 13, 2023 and 4 more (7 updates tracked since 2018).

About Ms. Akia Sheema Blandon Agnp NPPES

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

MS. AKIA SHEEMA BLANDON AGNP (NPI 1730673872) is an individual adult health provider in Stroudsburg, Pennsylvania, licensed in Pennsylvania (SP022781) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Valley Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1730673872
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. AKIA SHEEMA BLANDONCredential: AGNP
Location Address24 N 7TH ST STE 102Stroudsburg, PA 18360-2266
Mailing Address24 N 7th St Ste 102Stroudsburg, PA 18360-2266 · (484) 640-5400
Phone(484) 640-5400
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 21, 2018
Last NPPES UpdateSeptember 5, 20247 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1730673872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in PA · SP022781✔ Licensed in NJ · 26NJ00840600✔ Licensed in NY · 308685
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 26NJ00840600 (NJ)
24 N 7TH ST STE 102, Stroudsburg, PA 18360
Open in Google Maps ↗

Secondary Practice Locations 5

Location 12015 Grand ConcourseBronx, NY 10453 · Phone (718) 299-7295
Location 2186 Paramus RdParamus, NJ 07652-1309 · Phone (973) 661-8300 · Fax (973) 661-8333
Location 31640 S Black Horse PikeWilliamstown, NJ 08094-9247 · Phone (973) 661-8300 · Fax (973) 661-8333
Location 4208 Ravens Nest RdStroudsburg, PA 18360-8072 · Phone (201) 925-6300
Location 5500 Southern BlvdChatham, NJ 07928-1407 · Phone (973) 661-8300 · Fax (973) 661-8333

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

Ms. Akia Sheema Blandon Agnp 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 ID5890039713
PECOS Enrollment IDI20181204002575, I20201210000569, I20210315002686
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 7

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
288 services46 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
167 services154 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.
122 services35 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
68 services68 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
39 services29 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.
32 services12 patients

Hospital Affiliations CMS Care Compare

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

Valley Hospital

Acute Care Hospitals · Paramus, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310012
Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18360 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers12 claims26 services$6.30 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier18 claims18 services$35.28 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier28 claims28 services$13.58 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier13 claims13 services$5.76 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

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

NEW BEGINNINGS HEALTHCARE, PLLC
Nurse Practitioner (Adult Health)
24 N 7TH ST STE 102
STROUDSBURG, PA 18360
Monroe County (484) 640-5400

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 Akia Blandon's NPI number?

The NPI number for Akia Blandon is 1730673872. It was assigned to this individual provider in the NPPES registry on June 21, 2018.

Where is Akia Blandon located?

Akia Blandon practices at 24 N 7th St Ste 102, Stroudsburg, PA 18360. The listed phone number is (484) 640-5400.

What is Akia Blandon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Akia Blandon enrolled in Medicare?

Yes. Akia Blandon 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 Akia Blandon accept?

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

According to CMS data, Akia Blandon is affiliated with Valley Hospital.

When was this NPI record last updated?

The NPPES record for Akia Blandon was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.