Jessica Louise Blazka, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0996 Issued in NH

Practice address

87 McGregor St Ste 3100
Manchester, NH 03102-3766

Phone

(603) 627-1887

Fax

(603) 536-1544

NPI assigned

Feb 8, 2014

Last updated

Apr 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Appledore Medical Group IncGroup PAC ID 5698666154, 197 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Catholic Medical Center Hospital, Manchester, NH, CCN 300034

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.blazka@hca6.eclinicaldirectplus.com

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.

• Appledore Medical Group, Inc

  • Internal Medicine Physician
  • Portsmouth, NH
  • NPI 1720077167
  Medicare reassignment Care Compare group NPD
• Catholic Medical Center

  dba The Surgical Care Group

  • Vascular Surgery Physician
  • Manchester, NH
  • NPI 1235370057
  Medicare reassignment NPD
• Speare Memorial Hospital

  dba Speare Hospitalist Program

  • General Practice Physician
  • Plymouth, NH
  • NPI 1346402047
  Medicare reassignment
• Appledore Medical Group Dba Woodbury Family Practice

  dba Woodbury Family Practice

  • Family Medicine Physician
  • Newington, NH
  • NPI 1225232184
  NPD
• Catholic Medical Center

  dba Manchester Anesthesia Associates

  • Anesthesiology Physician
  • Manchester, NH
  • NPI 1003692112
  NPD
• Speare Memorial Hospital

  • Emergency Medicine Physician
  • Plymouth, NH
  • NPI 1346487956
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Manchester Health Services, LLC

  dba Catholic Medical Center

  • General Acute Care Hospital
  • Manchester, NH
  • NPI 1972340990
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1184048332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 706",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032640706",
            "telephone_number": "603-481-8757",
            "fax_number": "603-238-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 MCGREGOR ST STE 3100",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031023766",
            "telephone_number": "603-627-1887",
            "fax_number": "603-536-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAZKA",
        "first_name": "JESSICA",
        "middle_name": "LOUISE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-08",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3095759",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staff_scg@gohnh.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "87 McGregor St Ste 3100",
            "city": "Manchester",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031023766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Isabella Ann Blanchette, BA
• Nicole D Blanchette, RN, BSN
• Kendall Ann Blanck
• Laquan Bland
• Kristina Blaschak, PTA
• Jeffrey Field Bleakley, MD
• Danielle Lynne Ferreira Blecharczyk, APRN, PMHNP
• Elizabeth Blencowe, MD
• Kathryn Bloch
• Tyler Bloniak, PT

• Physician Assistant in Manchester, NH
• Providers in Manchester, NH by specialty
• Physician Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.

Verify at the official NPI Registry.