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ELIZABETH BLAUVELT
NPI 1104274190
Nurse Practitioner - Family in Bloomington, IN

Active since May 31, 2016PECOS EnrolledAccepts Medicare Assignment
601 W 2ND ST, BLOOMINGTON, IN 47403(812) 353-9515(812) 353-9275 Get Directions Write a Review

NPPES record last updated: August 29, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Elizabeth Blauvelt NPPES

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

ELIZABETH BLAUVELT (NPI 1104274190) is an individual family provider in Bloomington, Indiana, licensed in Indiana (71006436A) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and is a graduate of Indiana University School Of Medicine (2016).

NPPES Registry Identity

NPI1104274190
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELIZABETH BLAUVELT
Location Address601 W 2ND STBloomington, IN 47403-2317
Mailing AddressPo Box 1149Bloomington, IN 47402-1149 · (812) 353-3087
Phone(812) 353-9515
Fax(812) 353-9275
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2016
Enumeration DateMay 31, 2016
Last NPPES UpdateAugust 29, 2016
✔ NPI 1104274190 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 · 71006436A
601 W 2ND ST, Bloomington, IN 47403
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN090540140IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Elizabeth Blauvelt 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 ID3971898511
PECOS Enrollment IDI20160822002652
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

3

Medicare enrollment records show Elizabeth Blauvelt reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Indiana University Health Southern Indiana Physicians, LLC
6.1 mi
Multi-Specialty
2651 E DISCOVERY PKWY
Bloomington, IN 47408
  • Reassigned Medicare billing, Indiana enrollment
  • 783 clinicians in this Medicare group
NPI 1013953983 (812) 353-5252
Iu Health Medical Group, LLC
48 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000
Recover Together, LLC
89 mi
Adult Mental Health
465 BIELBY RD
Lawrenceburg, IN 47025
  • Reassigned Medicare billing, Indiana enrollment
  • 86 clinicians in this Medicare group
NPI 1891102497 (800) 683-8313

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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
20 services20 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150051
Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47403 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 20

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

DR. MICHAEL TIM DUNFEE M.D.
Anesthesiology
601 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 334-8958
LAURIE M EYNON
Dietitian, Registered
601 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 353-9568
ROBERT G PURSELL NP
Nurse Practitioner
601 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 353-9515
DAVID A DUNN D.O.
Anesthesiology
601 W 2ND ST, DEPARTMENT OF ANESTHESIOLOGY
BLOOMINGTON, IN 47403
Monroe County (812) 353-2317
DR. HOWIS YVETTE AROS MD
Hospitalist
601 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 353-9515
ERIN D WILSON
Dietitian, Registered
601 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 353-9568
ALVIN PERRY GRIFFITH M.D.
Psychiatry & Neurology (Psychiatry)
601 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 353-5603
INDIANA UNIVERSITY HEALTH BLOOMINGTON INC
Rehabilitation Unit
601 W 2ND ST
BLOOMINGTON, IN 47403
Monroe County (812) 353-9940

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 Elizabeth Blauvelt's NPI number?

The NPI number for Elizabeth Blauvelt is 1104274190. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Where is Elizabeth Blauvelt located?

Elizabeth Blauvelt practices at 601 W 2nd St, Bloomington, IN 47403. The listed phone number is (812) 353-9515.

What is Elizabeth Blauvelt's specialty?

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

Is Elizabeth Blauvelt enrolled in Medicare?

Yes. Elizabeth Blauvelt 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 Elizabeth Blauvelt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Blauvelt reassigns Medicare benefits to 3 organizations: Indiana University Health Southern Indiana Physicians, LLC (Bloomington, IN), Iu Health Medical Group, LLC (Indianapolis, IN) and Recover Together, LLC (Lawrenceburg, IN). 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 Elizabeth Blauvelt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Blauvelt accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Cigna Healthcare and 1 other insurer list Elizabeth Blauvelt 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 Elizabeth Blauvelt affiliated with any hospitals?

According to CMS data, Elizabeth Blauvelt is affiliated with Indiana University Health Bloomington Hospital.

When was this NPI record last updated?

The NPPES record for Elizabeth Blauvelt was last updated on August 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.