Karen Hejtmancik Blakley, ACNS-BC

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

746798 Issued in TX

Practice address

2559 Western Trails Blvd
Suite 200
Austin, TX 78745-1554

Phone

(512) 420-9900

Fax

(512) 420-9043

NPI assigned

Sep 30, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Certified Clinical Nurse Specialist (CNS)

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

St Davids Heart and Vascular PLLCGroup PAC ID 7012821879, 197 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St David'S Medical Center Hospital, Austin, TX, CCN 450431

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: 235-blakley-karen@direct.leadingreach.com
• Direct secure messaging: 2376-blakley-karen@direct.leadingreach.com
• Direct secure messaging: 2565-blakleynp-karen@direct.leadingreach.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.

• St Davids Heart & Vascular, PLLC

  • Cardiovascular Disease Physician
  • Austin, TX
  • NPI 1700887700
  Medicare reassignment Care Compare group NPD

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

• St. Davids Healthcare Partnership, L.P., LLP

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1720033947
  Care Compare affiliation

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1619201134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 SHOAL CREEK BLVD",
            "address_2": "SUITE 205N",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571098",
            "telephone_number": "512-206-4341",
            "fax_number": "512-420-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2559 WESTERN TRAILS BLVD",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451554",
            "telephone_number": "512-420-9900",
            "fax_number": "512-420-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKLEY",
        "first_name": "KAREN",
        "middle_name": "HEJTMANCIK",
        "credential": "ACNS-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-30",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "746798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2095259-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hailey Blake
• Kelsey Blake
• Ron Blake
• Michael Dontae Blakemore, DC
• Lynda K. Blakeslee, LPC
• Laura Lynn Blakley, MSN, APRN, PMHNP-BC
• Danielle Blalock, DPT
• Stephanie Blanch, MSN, APRN, FNP-C
• Christine Blanchard, FNP-C
• Drew Jude Blanchard, RPH

• Adult Health Clinical Nurse Specialist in Austin, TX
• Providers in Austin, TX by specialty
• Adult Health Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.