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MRS. BLAIR RENEE HERRMAN FNP
NPI 1063767101
Nurse Practitioner - Family in Mishawaka, IN

Active since July 16, 2012Opted out of Medicare · through Apr 1, 2027
524 E MCKINLEY AVE, MISHAWAKA, IN 46545(574) 256-2556 Get Directions Write a Review

NPPES record last updated: November 25, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Blair Renee Herrman Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. BLAIR RENEE HERRMAN FNP (NPI 1063767101) is an individual family provider in Mishawaka, Indiana, licensed in Indiana (28166943A) and active in the NPI registry since July 2012. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1063767101
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. BLAIR RENEE HERRMANCredential: FNP
Location Address524 E MCKINLEY AVEMishawaka, IN 46545-6285
Mailing Address524 E Mckinley AveMishawaka, IN 46545-6285 · (574) 256-2556 · Fax (574) 258-4278
Phone(574) 256-2556
Sole ProprietorNo
Enumeration DateJuly 16, 2012
Last NPPES UpdateNovember 25, 2013
✔ NPI 1063767101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 28166943A
524 E MCKINLEY AVE, Mishawaka, IN 46545
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Blair Renee Herrman Fnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2019 through April 1, 2027.

Opt-Out Effective DateApril 1, 2019
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46545 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SHEILA LYNNE PHILLIPS FNP
Nurse Practitioner (Family)
524 E MCKINLEY AVE
MISHAWAKA, IN 46545
St. Joseph County (574) 256-2556
SUZANNE S HERTZLER OTR
Occupational Therapist
524 E MCKINLEY AVE, STE 1
MISHAWAKA, IN 46545
St. Joseph County (574) 255-8730
JANET EILEEN ROBINSON APN
Nurse Practitioner (Psychiatric/Mental Health)
524 E MCKINLEY AVE
MISHAWAKA, IN 46545
St. Joseph County (574) 256-2556
MCKINLEY MEDICAL CLINMIC
Health Maintenance Organization
524 E MCKINLEY AVE
MISHAWAKA, IN 46545
St. Joseph County (574) 256-2556
KRISTENE QUALLS
Nurse Practitioner
524 E MCKINLEY AVE
MISHAWAKA, IN 46545
St. Joseph County (574) 256-2556
CANDACE KAY BYERS
Occupational Therapist
524 E MCKINLEY AVE, SUITE 1
MISHAWAKA, IN 46545
St. Joseph County (574) 255-8730
LAWRENCE R CURRY
Family Medicine
524 E MCKINLEY AVE
MISHAWAKA, IN 46545
St. Joseph County (574) 256-2556
AMY MARIE WILLIAMS FNP
Nurse Practitioner (Family)
524 E MCKINLEY AVE
MISHAWAKA, IN 46545
St. Joseph County (574) 256-2556

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blair Herrman's NPI number?

The NPI number for Blair Herrman is 1063767101. It was assigned to this individual provider in the NPPES registry on July 16, 2012.

Where is Blair Herrman located?

Blair Herrman practices at 524 E Mckinley Ave, Mishawaka, IN 46545. The listed phone number is (574) 256-2556.

What is Blair Herrman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Blair Herrman enrolled in Medicare?

No. Blair Herrman has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Blair Herrman was last updated on November 25, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.