Angela D Blain, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN527618L Issued in PA

Practice address

147 Gettys St
Gettysburg, PA 17325-2534

Phone

(717) 338-4525

NPI assigned

Oct 8, 2020

Last updated

Oct 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 PA

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Silver Willow Wellness PCGroup PAC ID 5597271577, 118 clinicians

Penn State Health Medical Group LLCGroup PAC ID 8729351077, 720 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Penn State Health Hampden Medical Center Hospital, Enola, PA, CCN 390336
• Penn State Health Holy Spirit Medical Center Hospital, Camp Hill, PA, CCN 390004

Merit-based Incentive Payment System (MIPS)

Final score

46.78 of 100Reported as apm

Quality

33.56

Promoting interoperability

0

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

82.85 of 100Reported as group

Quality

65.84

Promoting interoperability

100

Improvement activities

40

Cost

77

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Penn State Health Medical Group, LLC

  • Hematology & Oncology Physician
  • Harrisburg, PA
  • NPI 1861988644
  Medicare reassignment Care Compare group NPD
• Silver Willow Wellness PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Reading, PA
  • NPI 1659164697
  Medicare reassignment Care Compare group NPD
• Vital Healthcare Solutions

  • Psychiatry Physician
  • Sinking Springs, PA
  • NPI 1659736957
  Medicare reassignment NPD
• Harmonycares Complete Health Services, PLLC

  dba HarmonyCares Health Services

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1093543902

  Nurse Practitioner, PA

  Medicare reassignment NPD
• Vpa PC

  • Family Medicine Physician
  • Boardman, OH
  • NPI 1609942762

  PA

  Medicare reassignment NPD
• Penn State Health Medical Group, LLC

  • Diagnostic Radiology Physician
  • Harrisburg, PA
  • NPI 1457824013
  NPD
• Penn State Health Medical Group, LLC

  • Hospitalist Physician
  • Camp Hill, PA
  • NPI 1497409155
  NPD
• Vpa PC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • King of Prussia, PA
  • NPI 1386256881
  NPD

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

• Penn State Health Hampden Medical Center

  • General Acute Care Hospital
  • Enola, PA
  • NPI 1164029658
  Care Compare affiliation
• Penn State Health Holy Spirit Medical Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Camp Hill, PA
  • NPI 1659566008

  Hospital

  Care Compare affiliation
• Penn State Health Holy Spirit Medical Center

  • General Acute Care Hospital
  • Camp Hill, PA
  • NPI 1881690212
  Care Compare affiliation

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1366049751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 GETTYS ST",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173252534",
            "telephone_number": "717-338-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIN",
        "first_name": "ANGELA",
        "middle_name": "D",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "RN527618L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzette Berlin
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• Tiffany Coury Biggins
• Courtney Billow
• Jennifer A. Bishop, C.R.N.P.
• Carol A Blank, MD
• Bonneauville Community Fire Company, Inc
• Jessica Bonnett
• Angela Louise Borger, CRNP
• Toby Allen Bortner, PT

• Nurse Practitioner in Gettysburg, PA
• Providers in Gettysburg, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.