BLESSY SABU AGAC-NP
NPI 1841774817
Nurse Practitioner - Critical Care Medicine in Loma Linda, CA
NPI Status: Active since September 17, 2018
Contact Information
11201 BENTON ST
LOMA LINDA, CA
ZIP 92357
Phone: (909) 825-7084
- Individual
- Female
- Nurse Practitioner
- Critical Care Medicine
- PECOS Enrolled
About BLESSY SABU
This page provides the complete NPI Profile along with additional information for Blessy Sabu, a provider established in Loma Linda, California with a medical specialization in Nurse Practitioner, focusing in critical care medicine . The healthcare provider is registered in the NPI registry with number 1841774817 assigned on September 2018. The practitioner's primary taxonomy code is 363LC0200X with license number NP95009183 (CA). The provider is registered as an individual and her NPI record was last updated March 2025.
- NPI
- 1841774817
- Provider Name
- BLESSY SABU AGAC-NP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 11201 BENTON ST LOMA LINDA, CA 92357
- Location Phone
- (909) 825-7084
- Mailing Address
- 14539 ALDER DR EASTVALE, CA 92880
- Mailing Phone
- (714) 329-2868
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-17-2018
- Last Update Date
- 03-22-2025
- Code Navigator
A nurse practitioner (NP) like Blessy Sabu is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Critical Care Medicine
- Taxonomy Code
- 363LC0200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- NP95009183
- License State
- CA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LA2100X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | NP95009183 (CA) |
Medicare Participation & PECOS Enrollment Status
Blessy Sabu is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 92357 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $91.88
- Minimum New Patient Price $59.6
- Maximum New Patient Price $179.42
- Average New Patient Copayment $22.97
- Minimum New Patient Copayment $14.9
- Maximum New Patient Copayment $44.85
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $104.64
- Minimum Established Patient Price $19.37
- Maximum Established Patient Price $146.42
- Average Established Patient Copayment $26.16
- Minimum Established Patient Copayment $4.84
- Maximum Established Patient Copayment $36.6
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 4 | 1 | 7 | 7 | 4 | 8 | 1 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 8 | 1 | 14 | 7 | 8 | 8 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 8 + 1 + 1 + 4 + 7 + 8 + 8 + 2 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1841774817 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1619938305 | DR. PHAT NGO MD Individual | Internal Medicine | 11201 BENTON ST LOMA LINDA, CA 92357 (909) 825-7084 |
| 1912959255 | MS. NANCY R WHITNEY L.C.S.W. Individual | Social Worker (Clinical) | 11201 BENTON ST LOMA LINDA, CA 92357 (909) 825-7084 |
| 1235186743 | DR. DONALD GEORGE NESSMAN PHD Individual | Psychologist (Clinical) | 11201 BENTON ST LOMA LINDA, CA 92357 (909) 825-7084 |
| 1841238961 | DR. MICHAEL B. MASKIN PH.D. Individual | Psychologist (Clinical) | 11201 BENTON ST LOMA LINDA, CA 92357 (909) 825-7084 |
| 1871531673 | MRS. ROSEMARY SULLIVAN MA, OTR/L Individual | Occupational Therapist | 11201 BENTON ST LOMA LINDA, CA 92357 (909) 825-7084 |
| 1427098441 | MS. DEBORAH R ELLIS RN NP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 11201 BENTON ST LOMA LINDA, CA 92357 (909) 583-6189 |
| 1588605984 | DR. SHIRLEY CHO KILIAN PHD Individual | Psychologist (Clinical) | 11201 BENTON ST LOMA LINDA, CA 92357 (909) 825-7084 |
| 1780628826 | MRS. VICKI ANN BRADLEY AUD Individual | Audiologist-Hearing Aid Fitter | 11201 BENTON ST LOMA LINDA, CA 92357 (909) 825-7084 |
| 1003852823 | DR. ROBERT D KIGER DDS Individual | Dentist (Periodontics) | 11201 BENTON ST DENTAL SERVICE 160, LOMA LINDA VAMC LOMA LINDA, CA 92357 (909) 583-6127 |
| 1356387781 | DR. ROGER SCOTT JACOB WENGER PSY.D. Individual | Psychologist | 11201 BENTON ST LOMA LINDA, CA 92357 (800) 741-8387 |
| 1568499606 | DR. IMDAD - AHMAD M.D Individual | Internal Medicine | 11201 BENTON ST LOMA LINDA, CA 92357 (909) 825-7084 |
| 1689603334 | DR. LORI RENE WICKER PH.D. Individual | Psychologist | 11201 BENTON ST LOMA LINDA, CA 92357 (909) 825-7084 |
| 1396777942 | PHILLIP NG PHARM.D. Individual | Pharmacist | 11201 BENTON ST PHARMACY (119) LOMA LINDA, CA 92357 (909) 825-7084 |
| 1104841162 | DR. ANN LESLIE STEINER DMD, MS, MPH Individual | Dentist | 11201 BENTON ST DENTAL SERVICE (160) LOMA LINDA, CA 92357 (909) 583-6127 |
| 1780601476 | DR. WARREN YOW D.M.D. Individual | Dentist (Prosthodontics) | 11201 BENTON ST #160 LOMA LINDA, CA 92357 (909) 583-6055 |
| 1700805504 | DR. JOHN MAURICE BYRNE Individual | Internal Medicine | 11201 BENTON ST LOMA LINDA, CA 92357 (909) 583-6004 |
| 1396766077 | MR. ROGER MICHAEL GUSTAFSON N.P. Individual | Nurse Practitioner (Adult Health) | 11201 BENTON ST LOMA LINDA, CA 92357 (909) 825-7084 |
| 1407877962 | KENNETH A FOWLER D.D.S. Individual | Dentist (General Practice) | 11201 BENTON ST DENTAL SERVICE LOMA LINDA, CA 92357 (909) 583-6127 |
| 1124042155 | SUSAN J KIM M.D. Individual | Radiology (Diagnostic Radiology) | 11201 BENTON ST 605/114 LOMA LINDA, CA 92357 (909) 825-7084 |
| 1487678645 | DR. JAMES D. ANHOLM M.D. Individual | Internal Medicine | 11201 BENTON ST 111P LOMA LINDA, CA 92357 (909) 583-6098 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1841774817, enumerated in the NPI registry as an "individual" on September 17, 2018
The provider is located at 11201 Benton St Loma Linda, Ca 92357 and the phone number is (909) 825-7084
The provider's speciality is Nurse Practitioner with taxonomy code 363LC0200X with a focus in Critical Care Medicine
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $91.88 with an average copayment of $22.97 for new patient appointments. Established patients should expect a typical charge of $104.64 and an average copayment of 26.16. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on September 17, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.