Kaitlyn Blankenberger, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

451 Hidden Meadows Dr Ste 260
Hillsdale, MI 49242-9812

Phone

(517) 437-5350

NPI assigned

Dec 29, 2022

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

Medicare fee-for-service enrollment

Enrolled in MI

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hillsdale Community Health CenterGroup PAC ID 7214846260, 66 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hillsdale Hospital Hospital, Hillsdale, MI, CCN 230037

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kblankenberger1087280@direct.hfhs.org
• Direct secure messaging: kblankenberger524533@direct.parkviewexchange.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hillsdale Community Health Center

  dba Hillsdale Hospital

  • General Acute Care Hospital
  • Hillsdale, MI
  • NPI 1730115940
  Medicare reassignment Care Compare group NPD
• Amritraj Loganathan MD PC

  • Neurological Surgery Physician
  • Jackson, MI
  • NPI 1588379473
  Medicare reassignment
• Hillsdale Community Health Center

  • Rural Health Clinic/Center
  • Hillsdale, MI
  • NPI 1801618608
  NPD

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

• Hillsdale Community Health Center

  dba Hillsdale Hospital

  • General Acute Care Hospital
  • Hillsdale, MI
  • NPI 1730115940
  Care Compare affiliation

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1295448793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5523 BAYWATER DR",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476307316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 HIDDEN MEADOWS DR STE 260",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492429812",
            "telephone_number": "517-437-5350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "168 S Howell St",
            "address_purpose": "LOCATION",
            "city": "Hillsdale",
            "state": "MI",
            "postal_code": "492422081",
            "country_code": "US",
            "telephone_number": "517-437-4451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANKENBERGER",
        "first_name": "KAITLYN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Berro, PHARM D
• Maria Anna Bidny, DPM
• Rachel Bigham
• Ronda Lynn Bildner, MSW
• Roxanne Bitner, CPHT
• Kwasi O Boakye, M.D., F.A.C.E.
• Board of Education
• Loretta Ann Bobzien, LMSW CAADC
• Lucille Booth, LMSW
• Tricia Ann Bortell, MSW

• Physician Assistant in Hillsdale, MI
• Providers in Hillsdale, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.

Verify at the official NPI Registry.