Individual provider Active NPI

Kristen Michelle Bublitz, DO

  • Emergency Medicine Physician
  • Erie, PA
National Provider Identifier
1831711548
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OT020171 Issued in PA
Practice address
232 W 25TH St
Erie, PA 16544-0002
Phone
(814) 452-5101
NPI assigned
May 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OT020171 PA Primary

Addresses

Primary practice location

232 W 25TH St
Erie, PA 16544-0002

Mailing address

311 W 24TH St FL 4
Erie, PA 16502-2665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, KY, IN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230612001776 NY Practitioner - Emergency Medicine 5395102065 Reassigns benefits to 1 organization
I20231107001631 KY Practitioner - Emergency Medicine 5395102065 Reassigns benefits to 1 organization
I20240812001009 IN Practitioner - Emergency Medicine 5395102065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Physicians Associates PCGroup PAC ID 6709122724, 19 clinicians

Practice addresses (Care Compare)

1220 Missouri Ave
Jeffersonville, IN 47130-3725
Phone (812) 283-2581

Hospital & facility affiliations

  • Norton Clark Hospital Hospital, Jeffersonville, IN, CCN 150009
  • Westfield Memorial Hospital, Inc Hospital, Westfield, NY, CCN 330801

Merit-based Incentive Payment System (MIPS)

Final score
83.74 of 100Reported as group
Quality
78.36
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OT020171PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Emergency Medicine Physicians Associates PC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Ahn Emergency Group of Erie County LTD. Emergency Medicine CurrentSince May 13, 2023 Accepting new patients

Locations

1220 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 282-2072

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767

189 E Main St
Westfield, NY 14787
Phone (716) 326-4921

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1831711548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W 24TH ST FL 4",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 W 25TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165440002",
            "telephone_number": "814-452-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUBLITZ",
        "first_name": "KRISTEN",
        "middle_name": "MICHELLE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OT020171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.