JUDITH ELISA BLAKELY (APRN: PSYCHIATRY) – Psychiatric/Mental Health Nurse Practitioner, NPI 1205185055
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JUDITH ELISA BLAKELY (APRN: PSYCHIATRY)
PO BOX 724
NEWPORT, VT 058550724
Phone: (802) 334-6744
Type: Mailing
2225 PORTLAND ST
ST JOHNSBURY, VT 058198635
Phone: (802) 748-3181
Type: Location
375 BAY RD
QUEENSBURY, NY 128043012
Phone: (518) 480-7870
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $135.
Total Amount is formed as General ($135) + Research ($0) + Ownership ($0) = $135.
Last reported payment date: 2023-05-11 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($135).
Total Amount
$135
General + Research + Ownership
Payments
1
Total payment records
General Amount
$135
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $135 |
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: 2023-04-13
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 |
|---|---|---|---|---|
| I20230413001487 | I | Nurse Practitioner | NY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 05855)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VT | |
| - | NH | |
| Nurse Practitioner | VT | |
| Nurse Practitioner | VT | |
| Mental Health Counselor | VT | |
| - | VT | |
| Mental Health Counselor | VT | |
| Mental Health Counselor | VT | |
| P S Y C H I A T R Y | VT | |
| Clinical Social Worker | VT |
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