NPIMap

Individual provider Active NPI

Kristin A Blatz, PA-C

  • Physician Assistant
  • Pinehurst, NC
National Provider Identifier
1891702981
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
102703 Issued in NC
Practice address
5 First Village Drive
Pinehurst, NC 28374
Phone
(910) 295-6831
Fax
(910) 295-0244
NPI assigned
Aug 2, 2006
Last updated
Sep 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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 102703 NC Primary

Addresses

Primary practice location

5 First Village Drive
Pinehurst, NC 28374

Mailing address

5 First Village Drive
PO Box 2000
Pinehurst, NC 28374
Phone (910) 295-6831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040503001662 NC Practitioner - Physician Assistant 3375531908 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, shared by 5 NPIs, 540 clinicians
Pinehurst Surgical Clinic PAGroup PAC ID 4587561394, 92 clinicians
MCPC-9 LLCGroup PAC ID 1658526710, 57 clinicians

Practice addresses (Care Compare)

2303 Wellington Dr SW
Suite B
Wilson, NC 27893-8620
Phone (252) 243-6818

5 1St Village Dr
Pinehurst, NC 28374-9495
Phone (910) 295-6831

6322 Fayetteville Rd
Raeford, NC 28376-7979
Phone (910) 878-5150

809 S Long Dr
Rockingham, NC 28379-4377
Phone (910) 417-4096

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic Past Accepting new patients
Firsthealth of the Carolinas, Inc Orthopaedic Surgery Past Accepting new patients
FHPG, LLC Past Accepting new patients
Pinehurst Surgical Clinic PA Orthopaedic Surgery PastSince Sep 20, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kristinblatz@fhss.allscriptsdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1891702981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FIRST VILLAGE DRIVE",
            "address_2": "PO BOX 2000",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "28374",
            "telephone_number": "910-295-6831",
            "fax_number": "910-295-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FIRST VILLAGE DRIVE",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "28374",
            "telephone_number": "910-295-6831",
            "fax_number": "910-295-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATZ",
        "first_name": "KRISTIN",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.