Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ELYSE ANNE BLACKSTON NP
NPI 1083172324
Nurse Practitioner - Family in Marietta, OH

Active since March 06, 2019PECOS EnrolledAccepts Medicare Assignment
800 WAYNE ST STE 100, MARIETTA, OH 45750(740) 568-2214(740) 568-2099 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 13, 2026, May 29, 2026, May 9, 2025 and 8 more (11 updates tracked since 2019).

About Elyse Anne Blackston Np NPPES

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

ELYSE ANNE BLACKSTON NP (NPI 1083172324) is an individual family provider in Marietta, Ohio, licensed in Ohio (APRN.CNP.024183) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Marietta Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1083172324
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELYSE ANNE BLACKSTONCredential: NP
Location Address800 WAYNE ST STE 100Marietta, OH 45750-3309
Mailing AddressPo Box 449Marietta, OH 45750-0449
Fax(740) 568-2099
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 6, 2019
Last NPPES UpdateOctober 13, 202611 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1083172324 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 OH · APRN.CNP.024183
800 WAYNE ST STE 100, Marietta, OH 45750

Secondary Practice Locations 3

Location 1751 State Route 664 N Unit ALogan, OH 43138-9250 · Phone (740) 385-9646 · Fax (740) 385-0630
Location 2807 Farson St Ste 204CBelpre, OH 45714-1069 · Phone (740) 568-2214 · Fax (740) 568-2099
Location 3206 Columbus Rd Ste 402Athens, OH 45701-1316 · Phone (740) 589-3044 · Fax (740) 589-3045

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elyse Anne Blackston Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254671894
PECOS Enrollment IDI20190319001768
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Elyse Blackston reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
802 WAYNE ST
Marietta, OH 45750
  • Reassigned Medicare billing, Ohio enrollment
  • Also billed through NPI 1124073465 (Ohio)
  • 105 clinicians in this Medicare group
General Acute Care Hospital
401 MATTHEW ST
Marietta, OH 45750
  • Reassigned Medicare billing, Ohio enrollment
  • 411 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
302 services151 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services27 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
29 services22 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Marietta Memorial Hospital

Acute Care Hospitals · Marietta, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360147
Location401 Matthew StreetMarietta, OH 45750 · Washington County
Emergency services Birthing friendly

Selby General Hospital

Critical Access Hospitals · Marietta, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361319
Location1106 Colegate DriveMarietta, OH 45750 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45750 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 4

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

Nurse Practitioner (Family)
800 WAYNE ST STE 100
MARIETTA, OH 45750
Clinic/Center (Multi-Specialty)
800 WAYNE ST STE 100
MARIETTA, OH 45750
Internal Medicine (Rheumatology)
800 WAYNE ST STE 100
MARIETTA, OH 45750
Nurse Practitioner (Family)
800 WAYNE ST STE 100
MARIETTA, OH 45750

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 Elyse Blackston's NPI number?

The NPI number for Elyse Blackston is 1083172324. It was assigned to this individual provider in the NPPES registry on March 6, 2019.

Where is Elyse Blackston located?

Elyse Blackston practices at 800 Wayne St Ste 100, Marietta, OH 45750. The listed phone number is (740) 568-2214.

What is Elyse Blackston's specialty?

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

Is Elyse Blackston enrolled in Medicare?

Yes. Elyse Blackston is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Elyse Blackston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elyse Blackston reassigns Medicare benefits to 2 organizations: Selby General Hospital (Marietta, OH) and Marietta Memorial Hospital (Marietta, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elyse Blackston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elyse Blackston accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and MedMutual list Elyse Blackston as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Elyse Blackston affiliated with any hospitals?

According to CMS data, Elyse Blackston is affiliated with Marietta Memorial Hospital and Selby General Hospital.

When was this NPI record last updated?

The NPPES record for Elyse Blackston was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.