DR. AMANDA MOORE BLASZCZYNSKI (AU.D.) – Audiologist, NPI 1700994480

DR. AMANDA MOORE BLASZCZYNSKI (AU.D.) is a healthcare provider. based in Gadsden, Alabama. specializing in Audiologist. They hold the professional credentials AU.D.. They hold a License No. 868A (AL). The NPI Number for DR. AMANDA MOORE BLASZCZYNSKI (AU.D.) is 1700994480

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. AMANDA MOORE BLASZCZYNSKI (AU.D.)
NPI
1700994480
Phone
(256) 543-8899
Address
417 S 4TH ST
Enumeration Date
25 August 2006
Last Update Date
14 October 2010

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
2565438899
Graduation Year
2004 (22 years ago)
PAC ID
2163610890
Group Practice PAC ID
4688697915
Professional Enrollment ID
I20101222000767
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. AMANDA MOORE BLASZCZYNSKI (AU.D.)

  • 417, South 4th Street, Gadsden, Etowah County, Alabama, 35901, United States

    GADSDEN, AL 359015212

    Phone: (256) 543-8899

    Fax: (256) 543-8002

    Type: Location

  • Gadsden Post Office, South 7th Street, Gadsden, Etowah County, Alabama, 35901, United States

    GADSDEN, AL 359021399

    Phone: (256) 543-8899

    Fax: (256) 543-8002

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-12-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101222000767IQualified AudiologistALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35901)

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Provider's Procedures

DR. AMANDA MOORE BLASZCZYNSKI (AU.D.) performs procedures in Audiologist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
QUALIFIED AUDIOLOGISTAL92540Observation, testing, and recording of abnormal eye movement102102

Reviews

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Frequently asked questions

Can I cross-check DR. AMANDA MOORE BLASZCZYNSKI (AU.D.) using NPI 1700994480?
NPI 1700994480 belongs to DR. AMANDA MOORE BLASZCZYNSKI (AU.D.); compare other details if you need extra assurance.
Is there an active status for DR. AMANDA MOORE BLASZCZYNSKI (AU.D.)?
For scheduling context, DR. AMANDA MOORE BLASZCZYNSKI (AU.D.) is shown as active in the registry.
What area of care is associated with DR. AMANDA MOORE BLASZCZYNSKI (AU.D.)?
DR. AMANDA MOORE BLASZCZYNSKI (AU.D.)'s record emphasizes Audiologist. Clinical services aligned with this taxonomy classification.
Is DR. AMANDA MOORE BLASZCZYNSKI (AU.D.) located near Gadsden?
DR. AMANDA MOORE BLASZCZYNSKI (AU.D.) currently maps to Gadsden, Alabama in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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