Active NPI
Holly Blaakman Line, PA-C
- Physician Assistant
- Rochester, NY
National Provider Identifier
1679093280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0208361
- Practice address
- 755 Jefferson Rd Ste 110
Rochester, NY 14623-3270 - Phone
- (585) 385-6070
- Fax
- (585) 385-6071
- NPI assigned
- Jun 23, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0208361 | Primary |
Addresses
Primary practice location
755 Jefferson Rd Ste 110
Rochester, NY 14623-3270
Mailing address
755 Jefferson Rd Ste 110
Rochester, NY 14623-3270
Phone (585) 385-6070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
50 E S St
Geneseo, NY 14454-1300
Phone (585) 335-4285
755 Jefferson Rd
Suite 110
Rochester, NY 14623-3270
Phone (585) 385-6070
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.49 of 100
- Quality
- 61.65
- Improvement activities
- 40
- Cost
- 77.48
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.78 of 100
- Quality
- 95.06
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients |
Locations
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
Interoperability endpoints
- holly.blaakman.1@22039.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Specialist
- Rochester, NY
- NPI 1457728420
-
- Otolaryngology Physician
- Canandaigua, NY
- NPI 1841211836
-
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- Family Medicine Physician
- Rochester, NY
- NPI 1174990303
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1679093280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "755 JEFFERSON RD STE 110",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146233270",
"telephone_number": "585-385-6070",
"fax_number": "585-385-6071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 JEFFERSON RD STE 110",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146233270",
"telephone_number": "585-385-6070",
"fax_number": "585-385-6071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINE",
"first_name": "HOLLY",
"middle_name": "BLAAKMAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-23",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": "0208361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.