NATALIE MARIE BLASKOWSKI (PA-C) – Physician Assistant, NPI 1124589262

NATALIE MARIE BLASKOWSKI (PA-C) is a healthcare provider. based in Park city, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 11504426-1206 (UT). The NPI Number for NATALIE MARIE BLASKOWSKI (PA-C) is 1124589262

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
NATALIE MARIE BLASKOWSKI (PA-C)
NPI
1124589262
Phone
(435) 656-6600
Address
900 ROUND VALLEY DR STE 100
Enumeration Date
30 March 2019
Last Update Date
17 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4356556600
Graduation Year
2019 (7 years ago)
PAC ID
0042644833
Group Practice PAC ID
0042291510
Professional Enrollment ID
I20200103000559
Address ID
UT840607552PA900XXDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,971 PHYSICIAN ASSISTANT in UT

Provider Addresses for NATALIE MARIE BLASKOWSKI (PA-C)

  • 900 ROUND VALLEY DR STE 100

    PARK CITY, UT 840607552

    Phone: (435) 656-6600

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $312.

Total Amount is formed as General ($312) + Research ($0) + Ownership ($0) = $312.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Smith+Nephew, Inc. ($112).

Total Amount

$312

General + Research + Ownership

Payments

6

Total payment records

General Amount

$312

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

Latest reported date

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: 2020-01-03

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
I20200103000559IPhysician AssistantUTTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg20035$0
27447Replacement of knee joint, both sides of knee7770$0
20610Aspiration and/or injection of fluid from large joint5041$0
73562X-ray of knee, 3 views4534$0
99212Established patient office or other outpatient visit, 10-19 minutes3832$0
View full utilization report →

Insurance plans in this area (ZIP 84060)

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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: 0042291510View full group profile
NameSpecialtyState
Physician AssistantUT
Orthopedic SurgeryUT
Occupational Therapist In Private PracticeUT
Physician AssistantUT
Physician AssistantIL
Orthopedic SurgeryUT
Orthopedic SurgeryUT
Physician AssistantCA
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT

Reviews

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Frequently asked questions

Can I verify NATALIE MARIE BLASKOWSKI (PA-C) with an NPI only?
You can start verification with NPI 1124589262 for NATALIE MARIE BLASKOWSKI (PA-C), then check state licensing separately.
Does the file indicate NATALIE MARIE BLASKOWSKI (PA-C) is practicing under active NPI?
Directory data currently reports NATALIE MARIE BLASKOWSKI (PA-C) as active.
What is NATALIE MARIE BLASKOWSKI (PA-C)'s specialty?
The listing groups NATALIE MARIE BLASKOWSKI (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does NATALIE MARIE BLASKOWSKI (PA-C) serve?
NATALIE MARIE BLASKOWSKI (PA-C)'s listing highlights Park City, Utah; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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