CARLEEN BLOIS (PA) – Surgical Physician Assistant, NPI 1104920248

CARLEEN BLOIS (PA) is a healthcare provider. based in New britain, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 000477 (CT). The NPI Number for CARLEEN BLOIS (PA) is 1104920248

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
CARLEEN BLOIS (PA)
NPI
1104920248
Phone
(860) 224-5305
Address
100 GRAND STREET
Enumeration Date
11 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2036948200
Graduation Year
1994 (32 years ago)
PAC ID
4385605369
Group Practice PAC ID
7416840699
Professional Enrollment ID
I20041022000621
Address ID
CT064512101ME435XXAVEX300
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

3,243 PHYSICIAN ASSISTANT in CT

Loading map...

Provider Addresses for CARLEEN BLOIS (PA)

  • The Hospital of Central Connecticut - New Britain General Campus, 100, Grand Street, New Britain, Hartford County, Connecticut, 06052, United States

    NEW BRITAIN, CT 06050

    Phone: (860) 224-5305

    Fax: (860) 224-5565

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2023-06-21 • Largest payer in this snapshot: ABBVIE INC. ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$125
View all Open Payments →|Open Payments Risk Radar →

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: 2004-10-22

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
I20041022000621IPhysician AssistantCTTBD

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

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.

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

Insurance plans in this area (ZIP 06050)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416840699View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)NY
Physician AssistantCT
Internal Medicine, HospitalistTN
Physician AssistantCT
Physician AssistantCT
N E U R O L O G YCT
Physician AssistantCT
Internal MedicineCT
-CT
-CT

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for CARLEEN BLOIS (PA)?
The registry entry for CARLEEN BLOIS (PA) shows NPI 1104920248.
Does the public listing show CARLEEN BLOIS (PA) as active?
CARLEEN BLOIS (PA)'s NPI record reflects an active status in NPPES.
What services align with CARLEEN BLOIS (PA)'s listing?
CARLEEN BLOIS (PA)'s public classification highlights Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is CARLEEN BLOIS (PA) tied to New Britain, Connecticut?
If you are local to New Britain, Connecticut, CARLEEN BLOIS (PA) may be relevant to your search.
Why is information missing for CARLEEN BLOIS (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

Similar Providers

JEFFREY BOND (PA)

Surgical Physician Assistant
The Hospital of Central Connecticut - New Britain General Campus, 100, Grand Street, New Britain, Hartford County, Connecticut, 06052, United States
NPI: 1356342307

MR. GEORGE PUSKO (PA)

Surgical Physician Assistant
Kensington Avenue, New Britain, Hartford County, Connecticut, 06052, United States of America
NPI: 1477536183

MS. TRACY E BENJAMIN (PA)

Surgical Physician Assistant
Hart Street, New Britain, Hartford County, Connecticut, 06052, United States
NPI: 1922085885

MR. SCOTT T RYBAK (PA)

Surgical Physician Assistant
40, Hart Street, Downtown New Britain, Barrio Latino, New Britain, Capitol Planning Region, Connecticut, 06052, United States
NPI: 1619918323

MS. UMA TRIVEDI (PA)

Physician Assistant
The Hospital of Central Connecticut - New Britain General Campus, 100, Grand Street, New Britain, Hartford County, Connecticut, 06052, United States
NPI: 1093735656

MR. DENNIS BRIAN PHELAN (PA-C)

Surgical Physician Assistant
The Hospital of Central Connecticut - New Britain General Campus, 100, Grand Street, New Britain, Hartford County, Connecticut, 06052, United States
NPI: 1790794527

DANIELLE M LOOS (PA)

Surgical Physician Assistant
40, Hart Street, New Britain, Hartford County, Connecticut, 06052, United States
NPI: 1891800132

RICHARD COMMAILLE (PA)

Surgical Physician Assistant
The Hospital of Central Connecticut - New Britain General Campus, 100, Grand Street, New Britain, Hartford County, Connecticut, 06052, United States
NPI: 1891897963

JEFFREY REUT (PA)

Surgical Physician Assistant
The Hospital of Central Connecticut - New Britain General Campus, 100, Grand Street, New Britain, Hartford County, Connecticut, 06052, United States
NPI: 1972605053