Kendallyn Joan Blay, AGACNP-BC, DNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

H171211 Issued in IA

Practice address

855 A Ave NE Ste 400
Cedar Rapids, IA 52402-5064

Phone

(319) 363-3565

Fax

(319) 363-4001

NPI assigned

Jul 18, 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

Other names 1

• Dr. Kendallyn Joan Blay Professional name

Medicare fee-for-service enrollment

Enrolled in IA

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

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Lukes Hospital Hospital, Cedar Rapids, IA, CCN 160045
• Jones Regional Medical Center Hospital, Anamosa, IA, CCN 161306

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kblay921689@direct.unitypoint.org

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.

• Iowa Physicians Clinic Medical Foundation

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274

  IA

  Medicare reassignment Care Compare group NPD
• Iowa Physicians Clinic Medical Foundation

  • Clinical Medical Laboratory
  • Cedar Falls, IA
  • NPI 1538617840
  Care Compare group
• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD

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

• St Luke'S Jones Regional Medical Center

  • Critical Access Hospital
  • Anamosa, IA
  • NPI 1164514741

  Hospital

  Care Compare affiliation
• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1356076145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 WINDHAM WOODS CT SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524033769",
            "telephone_number": "319-551-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 A AVE NE STE 400",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025064",
            "telephone_number": "319-363-3565",
            "fax_number": "319-363-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAY",
        "first_name": "KENDALLYN",
        "middle_name": "JOAN",
        "name_prefix": "Mrs.",
        "credential": "AGACNP-BC, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IA",
            "license": "H171211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDALLYN",
            "last_name": "BLAY",
            "middle_name": "JOAN",
            "prefix": "DR.",
            "credential": "AGACNP-BC, DNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sarah Elizabeth Blader, MSW, LISW
• Melanie Marie Blais, ARNP
• Ann Blake, LISW
• Jessica Blake, LISW
• Nytroyana Bland, LPN
• Melissa Blegen, OTR/L
• La'Neice T Blessing, LMSW
• John-Paul Latham Blix, LMFT-T
• Sue Blome, RN
• Bloomlife Supportive Living LLC

• All providers in Cedar Rapids, IA
• Acute Care Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.