Individual provider Active NPI

Holly Blaakman Line, PA-C

  • Physician Assistant
  • Rochester, NY
National Provider Identifier
1679093280
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
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

Updated by the provider on Aug 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171115002298 NY Practitioner - Physician Assistant 9537425046 Reassigns benefits to 3 organizations

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
Sleep Insights Medical Associates PLLCGroup PAC ID 8325345325, 10 clinicians

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 100Reported as group
Quality
61.65
Improvement activities
40
Cost
77.48

Merit-based Incentive Payment System (MIPS)

Final score
92.78 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Sep 19, 2017 Accepting new patients
Rochester General Hospital CurrentSince Sep 19, 2017 Accepting new patients

Locations

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.