MRS. LISA MARIE BLASKO (FNP-C) – Family Nurse Practitioner, NPI 1245646629
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,509 NURSE PRACTITIONER in AZ
Provider Addresses for MRS. LISA MARIE BLASKO (FNP-C)
113 E BROWN RD
STAR VALLEY, AZ 855416561
Phone: (928) 472-2225
Fax: (928) 468-0002
Type: Mailing
PO BOX 3630
FLAGSTAFF, AZ 860033630
Phone: (928) 522-9879
Type: Mailing
126 E MAIN ST
PAYSON, AZ 855415488
Phone: (928) 468-8610
Type: Location
620 LEE ST
WINSLOW, AZ 860472435
Phone: (928) 289-2000
Type: Mailing
120 E MAIN ST STE B
PAYSON, AZ 855415618
Phone: (928) 472-2225
Fax: (928) 468-0002
Type: Location
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: 2014-10-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141021000523 | I | Nurse Practitioner | AZ | TBD |
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.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 25 | 16 | $0 |
Insurance plans in this area (ZIP 85541)
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