Mrs Tia Angelique Blystone, CRNP is a medicare enrolled "Nurse Practitioner - Family" in New Alexandria, Pennsylvania. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Vital Healthcare Solutions and her current practice location is
134 Newhouse Rd, New Alexandria, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(724) 691-1169.
Mrs Tia Angelique Blystone is licensed to practice in Pennsylvania (license number SP031129) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710701560.
Provider's Profile
| Full Name | Mrs Tia Angelique Blystone |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 134 Newhouse Rd, New Alexandria, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Tia Angelique Blystone graduated from nursing school in 2024
NPI Data:
- NPI Number: 1710701560
- Provider Enumeration Date: 11/08/2024
- Last Update Date: 11/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 3870029093
- Enrollment ID: I20260428003157
Medical Identifiers
Medical identifiers for Mrs Tia Angelique Blystone such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710701560 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | SP031129 (Pennsylvania) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Vital Healthcare Solutions | 3274830336 | 100 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tia Angelique Blystone is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Tia Angelique Blystone, CRNP 134 Newhouse Rd, New Alexandria, PA 15670-2584 Ph: (724) 691-1169 | Mrs Tia Angelique Blystone, CRNP 134 Newhouse Rd, New Alexandria, PA 15670-2584 Ph: (724) 691-1169 |
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