AMY A BLAZEK (PA) – Physician Assistant, NPI 1174621247

AMY A BLAZEK (PA) is a healthcare provider. based in Lubbock, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for AMY A BLAZEK (PA) is 1174621247

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
AMY A BLAZEK (PA)
NPI
1174621247
Phone
(806) 785-7676
Address
5219 CITY BANK PKWY
Enumeration Date
20 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8067758200
Graduation Year
2006 (20 years ago)
PAC ID
8729180500
Group Practice PAC ID
6709028954
Professional Enrollment ID
I20070226000196
Address ID
TX794153364LU602XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

8,497 PHYSICIAN ASSISTANT in TX

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Provider Addresses for AMY A BLAZEK (PA)

  • City Bank, 5219, City Bank Parkway, Lubbock, Texas, 79407, United States

    STE 35

    LUBBOCK, TX 794073544

    Phone: (806) 785-7676

    Fax: (806) 785-0872

    Type: Mailing

  • Medical Office Plaza I, 3502, 9th Street, Lubbock, Texas, 79415, United States

    STE 110

    LUBBOCK, TX 794153300

    Phone: (806) 744-1171

    Fax: (806) 744-1169

    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: 2007-02-26

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
I20070226000196IPhysician AssistantTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes5926$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3923$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2525$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1515$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 79407)

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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: 6709028954View full group profile
NameSpecialtyState
Internal MedicineCO
Nurse PractitionerTX
Family PracticeTX
Internal MedicineTX
Nurse PractitionerTX
H E M A T O L O G Y/ O N C O L O G YTX
Internal MedicineTX
Internal MedicineNY
Internal MedicineTN
Internal MedicineTX

Reviews

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Frequently asked questions

Does AMY A BLAZEK (PA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — AMY A BLAZEK (PA) uses 1174621247.
Is AMY A BLAZEK (PA) still practicing?
AMY A BLAZEK (PA) is currently listed as active in the public NPI registry.
What is AMY A BLAZEK (PA) best known for clinically?
Directory data describes AMY A BLAZEK (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is AMY A BLAZEK (PA) based?
AMY A BLAZEK (PA) is tied to Lubbock, Texas in the data we show; additional addresses may exist on the full record.
Why does AMY A BLAZEK (PA) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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