Active NPI
Thomas Blazi, CRNP
- Acute Care Nurse Practitioner
- Harrisburg, PA
National Provider Identifier
1073252854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- SP026008
- Practice address
- 810 Sir Thomas CT Ste 101
Harrisburg, PA 17109-4839 - Phone
- (717) 614-4420
- Fax
- (717) 614-4421
- NPI assigned
- Jun 1, 2022
- Last updated
- Dec 20, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | RN584989 | PA | |
| Acute Care Nurse Practitioner | 363LA2100X | SP026008 | PA | Primary |
Addresses
Primary practice location
810 Sir Thomas CT Ste 101
Harrisburg, PA 17109-4839
Mailing address
810 Sir Thomas CT Ste 101
Harrisburg, PA 17109-4839
Phone (717) 614-4420
Other practice location 1
111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 782-3131
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tblazi227887@phsdirect.pinnaclehealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
810 Sir Thomas CT
Suite 101
Harrisburg, PA 17109-4839
Phone (717) 614-4420
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.08 of 100
- Quality
- 76.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.12
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN584989 | PA | MD | Acute Care Nurse Practitioner |
| SP026008 | PA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients |
Locations
111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
810 Sir Thomas Ct
#101
Harrisburg, PA 17109
Phone (717) 614-4420
Interoperability endpoints
- tblazi227887@phsdirect.pinnaclehealth.org
- tblazi281952@upmc.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
-
dba UPMC Gastroenterology Associates of Central PA
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
-
dba PinnacleHealth FamilyCare Newport
- Family Medicine Physician
- Newport, PA
- NPI 1417983800
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1265537674
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
-
dba UPMC Pinnacle West Shore
- General Acute Care Hospital
- Mechanicsburg, PA
- NPI 1972613305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1073252854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 SIR THOMAS CT STE 101",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171094839",
"telephone_number": "717-614-4420",
"fax_number": "717-614-4421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 SIR THOMAS CT STE 101",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171094839",
"telephone_number": "717-614-4420",
"fax_number": "717-614-4421"
}
],
"practiceLocations": [
{
"address_1": "111 S Front St",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171012010",
"country_code": "US",
"telephone_number": "717-782-3131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLAZI",
"first_name": "THOMAS",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-01",
"last_updated": "2022-12-20",
"certification_date": "2022-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "PA",
"license": "RN584989",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "PA",
"license": "SP026008",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tblazi227887@phsdirect.pinnaclehealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "810 Sir Thomas Ct Ste 101",
"city": "Harrisburg",
"state": "PA",
"country_code": "US",
"postal_code": "171094839",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.