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LORETTA BLANCHARD NP
NPI 1104103613
Nurse Practitioner in Port Orange, FL

Active since November 11, 2011PECOS EnrolledAccepts Medicare Assignment
5821 S WILLIAMSON BLVD, STE 204, PORT ORANGE, FL 32128(386) 231-6300(386) 322-6165 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 15, 2026, Mar 25, 2026, Jun 2, 2023 and 1 more (4 updates tracked since 2022).

About Loretta Blanchard Np NPPES

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

LORETTA BLANCHARD NP (NPI 1104103613) is an individual nurse practitioner in Port Orange, Florida, licensed in Florida (APRN11011984) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS, is affiliated with Adventhealth New Smyrna Beach, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1104103613
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLORETTA BLANCHARDCredential: NP
Location Address5821 S WILLIAMSON BLVD, STE 204Port Orange, FL 32128
Mailing Address5821 S Williamson Blvd Ste 204Port Orange, FL 32128-6102 · (386) 231-6300 · Fax (386) 322-6165
Phone(386) 231-6300
Fax(386) 322-6165
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateNovember 11, 2011
Last NPPES UpdateApril 15, 20264 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1104103613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in FL · APRN11011984✔ Licensed in OH · 12857-NP
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5821 S WILLIAMSON BLVD, Port Orange, FL 32128
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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

Loretta Blanchard 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 ID4688839137
PECOS Enrollment IDI20211124001535
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 Loretta Blanchard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adventhealth Primary Care Network Inc
39 mi
Family Medicine
900 HOPE WAY
Altamonte Springs, FL 32714
  • Reassigned Medicare billing, Florida enrollment
  • 395 clinicians in this Medicare group
NPI 1093493637 (407) 357-1000
Cardiac Vision LLC
83 mi
Cardiovascular Disease
7807 BAYMEADOWS RD E, SUITE 209
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
  • 124 clinicians in this Medicare group
NPI 1144651373 (904) 230-1204

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

Hospital Affiliations CMS Care Compare 2

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

Adventhealth New Smyrna Beach

Acute Care Hospitals · New Smyrna Beach, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100014
Location401 Palmetto StNew Smyrna Beach, FL 32170 · Volusia County
Emergency services

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100068
Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32128 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
80%103 patients4/55-star benchmark: 100%
Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 100% · 22 patients
100%27 patients
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
70%159 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
27%192 patients2/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
35%156 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.96 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$922.57 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$63.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

RON ROSENBERG MD
Family Medicine (Sports Medicine)
5821 S WILLIAMSON BLVD, SUITE 203
PORT ORANGE, FL 32128
Volusia County (386) 231-2960

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 Loretta Blanchard's NPI number?

The NPI number for Loretta Blanchard is 1104103613. It was assigned to this individual provider in the NPPES registry on November 11, 2011.

Where is Loretta Blanchard located?

Loretta Blanchard practices at 5821 S Williamson Blvd Ste 204, Port Orange, FL 32128. The listed phone number is (386) 231-6300.

What is Loretta Blanchard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Loretta Blanchard enrolled in Medicare?

Yes. Loretta Blanchard 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 Loretta Blanchard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Loretta Blanchard reassigns Medicare benefits to 2 organizations: Adventhealth Primary Care Network Inc (Altamonte Springs, FL) and Cardiac Vision LLC (Jacksonville, FL). 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 Loretta Blanchard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Loretta Blanchard affiliated with any hospitals?

According to CMS data, Loretta Blanchard is affiliated with Adventhealth New Smyrna Beach and Adventhealth Daytona Beach.

When was this NPI record last updated?

The NPPES record for Loretta Blanchard was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.