Natalie Marie Blaskowski, PA-C
Individual provider Active NPI Physician Assistant · Park City, UT
NPI 1124589262 · NPPES record last updated Nov 17, 2020
Key facts
- NPI
- 1124589262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 11504426-1206 (UT)
- Practice address
- 900 Round Valley Dr Ste 100
Park City, UT 84060-7552 - Phone
- (435) 656-6600
- NPI assigned
- Mar 30, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rosenberg Cooley Metcalf LC
Practice addresses (Care Compare)
6340 S 3000
Suite 200
Salt Lake City, UT 84121-3552
Phone (435) 655-6600
900 Round Valley Dr
Suite 100
Park City, UT 84060-7552
Phone (435) 655-6600
Hospital & facility affiliations
- Park City Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200103000559 | UT | Practitioner - Physician Assistant | 0042644833 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11504426-1206 | UT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosenberg Cooley Metcalf LC | Orthopaedic Surgery | Current |
Accepting new patients |
Locations
900 Round Valley Dr
Ste 100
Park City, UT 84060
Phone (435) 655-6600
6340 S 3000 E
Ste 200
Salt Lake City, UT 84121
Phone (435) 655-6600
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IJFECD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 11504426-1206 | UT | Yes |
Addresses
Primary practice location
900 Round Valley Dr Ste 100
Park City, UT 84060-7552
Mailing address
900 Round Valley Dr Ste 100
Park City, UT 84060-7552
Phone (435) 656-6600
Other names
- Natalie Marie Plascencia
Other providers in Park City, UT
- Amy Adair Bingham
- Rachel Bittenson
- BK Roots, LLC
- Nathan Jeremy Black
- Spencer Sonntag Blackham
- Shari Bloom
- Blue Sage Medical LLC
- Blue Sky Therapeutics, LLC
- Bobbi Fosburg Psychotherapy, LLC
- Kathleen S Bochnowski
All providers in Park City, UT · Physician Assistant in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.