MS. KRISTEN MARIE BLYDENBURGH RPA-C
NPI 1871816595
Physician Assistant in West Islip, NY
About Ms. Kristen Marie Blydenburgh Rpa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KRISTEN MARIE BLYDENBURGH RPA-C (NPI 1871816595) is an individual physician assistant in West Islip, New York, licensed in New York (013795) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Medical Center, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
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. Kristen Marie Blydenburgh Rpa-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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Good Samaritan Hospital Medical Center
Acute Care Hospitals · West Islip, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11795 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WEST ISLIP, NY 11795
WEST ISLIP, NY 11795
WEST ISLIP, NY 11795
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 Kristen Blydenburgh's NPI number?
The NPI number for Kristen Blydenburgh is 1871816595. It was assigned to this individual provider in the NPPES registry on March 9, 2010.
Where is Kristen Blydenburgh located?
Kristen Blydenburgh practices at 1000 Montauk Hwy 4th Floor Annex, West Islip, NY 11795. The listed phone number is (631) 376-4444.
What is Kristen Blydenburgh's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Kristen Blydenburgh enrolled in Medicare?
Yes. Kristen Blydenburgh 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.
Is Kristen Blydenburgh affiliated with any hospitals?
According to CMS data, Kristen Blydenburgh is affiliated with Good Samaritan Hospital Medical Center.
When was this NPI record last updated?
The NPPES record for Kristen Blydenburgh was last updated on March 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Ms. Kristen Marie Blydenburgh, RPA-C · NPI 1871816595
Physician Assistant physician in West Islip, New York. Individual provider, active in the CMS NPPES registry since March 9, 2010.
## Identity
- **NPI:** 1871816595 (Entity type: Individual)
- **Enumerated:** March 9, 2010
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 013795 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1000 MONTAUK HWY, 4TH FLOOR ANNEX, West Islip, NY 11795-4927
- **Phone:** (631) 376-4444
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** March 9, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1871816595) · Data from the CMS NPPES public registry.