Andrew Elliott Blakley, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP0189 Issued in GU

Practice address

133 Route 3
Dededo, GU 96929-6911

Phone

(671) 645-5500

Fax

(671) 645-5615

NPI assigned

Sep 14, 2018

Last updated

Jan 25, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in GU

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

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pacific Cardiology Consultants LLCGroup PAC ID 0547417131, 6 clinicians

Blue Ocean Medical Group LLCGroup PAC ID 1153651112, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

79.22 of 100Reported as group

Quality

78.84

Improvement activities

40

Cost

61.61

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Blue Ocean Medical Group LLC

  dba IHP Medical Group

  • Family Medicine Physician
  • Dededo, GU
  • NPI 1235791203
  Medicare reassignment Care Compare group NPD
• Pacific Cardiology Consultants LLC

  • Interventional Cardiology Physician
  • Tamuning, GU
  • NPI 1013278936
  Medicare reassignment Care Compare group NPD
• Guam Healthcare Development Incorporated

  dba GRMC Specialty Care Center

  • Clinic/Center
  • Dededo, GU
  • NPI 1326447939
  Medicare reassignment NPD

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1992288989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 HILTON RD UNIT 12",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969134097",
            "telephone_number": "671-987-1542",
            "fax_number": "671-969-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 ROUTE 3",
            "city": "DEDEDO",
            "state": "GU",
            "postal_code": "969296911",
            "telephone_number": "671-645-5500",
            "fax_number": "671-645-5615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5112 Harvard St",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791095806",
            "country_code": "US",
            "telephone_number": "806-626-1542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAKLEY",
        "first_name": "ANDREW",
        "middle_name": "ELLIOTT",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-14",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "GU",
            "license": "RE2535",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139003",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GU",
            "license": "NP0189",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TX",
            "license": "827646",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Christopher Bansil, DNP, ACNPC-AG
• Joleen Aguon Baza, LPC
• Dennis D. Beckworth, MD
• Anthony G Bekkerman, M.D.
• BJR (Simply RX Pharmacy)
• Blue Continent Healthcare Guam Medical City LLC (GRMC Specialty Care Center)
• Blue Continent Healthcare Guam Medical City LLC (Guam Regional Medical City)
• Blue Ocean Medical Group LLC (IHP Medical Group)
• Trang Bui, PHARMD
• C V Alegria DDS Inc (Harmon Loop Dental)

• Family Nurse Practitioner in Dededo, GU
• Providers in Dededo, GU by specialty
• Family Nurse Practitioner in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.