1. Home
  2. Directory
  3. Maryland
  4. Cumberland
  5. Nurse Practitioner
  6. NPI Profile

CARLA BLANEY CRNP
NPI 1891366340
Nurse Practitioner in Cumberland, MD

Active since July 06, 2021PECOS EnrolledAccepts Medicare Assignment
86.92/100
CMS Quality Rating
12500 WILLOWBROOK RD, CUMBERLAND, MD 21502(240) 964-8150 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2021, Jul 6, 2021 (2 updates tracked since 2021).

About Carla Blaney Crnp NPPES

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

CARLA BLANEY CRNP (NPI 1891366340) is an individual nurse practitioner in Cumberland, Maryland, licensed in Maryland (R184618) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Western Maryland Regional Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1891366340
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCARLA BLANEYCredential: CRNP
Location Address12500 WILLOWBROOK RDCumberland, MD 21502-6393
Mailing AddressPo Box 1671Cumberland, MD 21501-1671 · (240) 964-8342
Phone(240) 964-8150
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 6, 2021
Last NPPES UpdateAugust 6, 20212 updates tracked since enumeration
NPPES CertifiedAugust 6, 2021
✔ NPI 1891366340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MD · R184618
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R184618 (MD)
12500 WILLOWBROOK RD, Cumberland, MD 21502
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Carla Blaney 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 ID4880098847
PECOS Enrollment IDI20210812002517
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 6

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
709 services205 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
137 services131 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
92 services92 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
40 services40 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
31 services27 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
17 services16 patients

Hospital Affiliations CMS Care Compare

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

Western Maryland Regional Medical Center

Acute Care Hospitals · Cumberland, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210027
Location12500 Willowbrook RoadCumberland, MD 21502 · Allegany County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21502 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

86.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.08
Promoting Interoperability100
Improvement Activities40
Cost80.8

Referred Medical Equipment & Supplies CMS DME claims 6

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers40 claims40 services$54.50 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
1 supplier13 claims13 services$56.18 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
2 suppliers11 claims11 services$60.93 avg. paid by Medicare
Transport chair, adult size, patient weight capacity up to and including 300 pounds E1038
DME-Other DME · category DE000N
2 suppliers70 claims70 services$10.02 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers61 claims61 services$22.09 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$11.17 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 20

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

DR. FEIYU HONG M.D.
Internal Medicine
12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
Allegany County (240) 964-7000
JADE LIN BEAN LGSW
Social Worker
12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
Allegany County (240) 964-8585
MEHMET SAYINER M.D.
Internal Medicine
12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
Allegany County (240) 964-7000
JARED LAMP
Nurse Anesthetist, Certified Registered
12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
Allegany County (240) 964-7000
OBHG MARYLAND PC
Obstetrics & Gynecology
12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
Allegany County (864) 908-3530
MRS. CHRISTINE MARIE STURTZ CRNA
Nurse Anesthetist, Certified Registered
12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
Allegany County (240) 964-3306
DR. IFEOLUWA ADABONYAN M.D.
Emergency Medicine
12500 WILLOWBROOK RD, EMERGENCY DEPARTMENT
CUMBERLAND, MD 21502
Allegany County (240) 964-1200
FRANK MBOROGO LMSW
Social Worker
12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
Allegany County (301) 876-2613

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 Carla Blaney's NPI number?

The NPI number for Carla Blaney is 1891366340. It was assigned to this individual provider in the NPPES registry on July 6, 2021.

Where is Carla Blaney located?

Carla Blaney practices at 12500 Willowbrook Rd, Cumberland, MD 21502. The listed phone number is (240) 964-8150.

What is Carla Blaney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Carla Blaney enrolled in Medicare?

Yes. Carla Blaney 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 Carla Blaney accept?

Health plans from CareSource list Carla Blaney 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 Carla Blaney affiliated with any hospitals?

According to CMS data, Carla Blaney is affiliated with Western Maryland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Carla Blaney was last updated on August 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.