ELIZABETH BLOCKER (WHNP-BC, RN) – Women's Health Nurse Practitioner, NPI 1003696550

ELIZABETH BLOCKER (WHNP-BC, RN) is a healthcare provider. based in Boston, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials WHNP-BC, RN. They hold a License No. RN2361528 (MA). The NPI Number for ELIZABETH BLOCKER (WHNP-BC, RN) is 1003696550

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH BLOCKER (WHNP-BC, RN)
NPI
1003696550
Phone
(617) 414-5405
Address
960 MASSACHUSETTS AVE STE 2
Enumeration Date
3 October 2023
Last Update Date
20 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6177892375
Graduation Year
2021 (5 years ago)
PAC ID
7113379611
Group Practice PAC ID
2860688728
Professional Enrollment ID
I20240119004061
Address ID
MA021352907BR736XXCCPX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:2State licenses:1Digital endpointsOther names

9,049 NURSE PRACTITIONER in MA

Provider Addresses for ELIZABETH BLOCKER (WHNP-BC, RN)

  • 960 MASSACHUSETTS AVE STE 2

    BOSTON, MA 021182690

    Phone: (617) 414-5405

    Type: Mailing

  • 736 CAMBRIDGE ST FL 8

    BOSTON, MA 021352907

    Phone: (617) 789-2268

    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: 2024-01-19

PECOS data refreshed: 2026-06-15

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
I20240119004061INurse PractitionerMATBD

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 02118)

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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: 2860688728View full group profile

Reviews

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Frequently asked questions

Is ELIZABETH BLOCKER (WHNP-BC, RN) listed with a National Provider Identifier?
Yes — ELIZABETH BLOCKER (WHNP-BC, RN) has NPI 1003696550 on file in the registry.
Is ELIZABETH BLOCKER (WHNP-BC, RN) shown as active in public data?
Registry records indicate ELIZABETH BLOCKER (WHNP-BC, RN) maintains an active NPI.
What clinical focus is listed for ELIZABETH BLOCKER (WHNP-BC, RN)?
At a glance, ELIZABETH BLOCKER (WHNP-BC, RN) is tied to Women's Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is ELIZABETH BLOCKER (WHNP-BC, RN) registered?
Use Boston, Massachusetts as the headline location for ELIZABETH BLOCKER (WHNP-BC, RN) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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