MICHELLE RAE BLAIR NP-C
NPI 1104489111
Nurse Practitioner - Family in Spartanburg, SC

Active since April 16, 2019PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
1200 E MAIN ST STE 12, SPARTANBURG, SC 29307(864) 560-9260(864) 560-9265 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2024, Nov 29, 2021, Jun 21, 2021 and 5 more (8 updates tracked since 2019).

About Michelle Rae Blair Np-c NPPES

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

MICHELLE RAE BLAIR NP-C (NPI 1104489111) is an individual family provider in Spartanburg, South Carolina, licensed in South Carolina (24897) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1104489111
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE RAE BLAIRCredential: NP-C
Location Address1200 E MAIN ST STE 12Spartanburg, SC 29307-1738
Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413
Fax(864) 560-9265
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 16, 2019
Last NPPES UpdateNovember 29, 20218 updates tracked since enumeration
NPPES CertifiedNovember 29, 2021
NPI 1104489111 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
Licenses Licensed in SC · 24897 Licensed in VA · 0024177529
1200 E MAIN ST STE 12, Spartanburg, SC 29307

Other Identifiers 5

OtherSCK1055019SC · Medicare Pin
OtherSCK1056084SC · Medicare Pin
MedicaidNP7525SC
OtherSCK105J577SC · Medicare Pin
OtherSCK1056067SC · Medicare Pin

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Michelle Rae Blair Np-c 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 ID3476882358
PECOS Enrollment IDI20210518001066
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.

Areas of Expertise CMS Part B claims 9

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
44 services44 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.
32 services31 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.
26 services26 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
20 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29307 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner (Family)
1200 E MAIN ST STE 12
SPARTANBURG, SC 29307
Family Medicine
1200 E MAIN ST STE 12
SPARTANBURG, SC 29307
Family Medicine
1200 E MAIN ST STE 12
SPARTANBURG, SC 29307
Family Medicine
1200 E MAIN ST STE 12
SPARTANBURG, SC 29307
Family Medicine
1200 E MAIN ST STE 12
SPARTANBURG, SC 29307
Family Medicine
1200 E MAIN ST STE 12
SPARTANBURG, SC 29307
Nurse Practitioner (Family)
1200 E MAIN ST STE 12
SPARTANBURG, SC 29307
Physician Assistant (Medical)
1200 E MAIN ST STE 12
SPARTANBURG, SC 29307

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 Michelle Blair's NPI number?

The NPI number for Michelle Blair is 1104489111. It was assigned to this individual provider in the NPPES registry on April 16, 2019.

Where is Michelle Blair located?

Michelle Blair practices at 1200 E Main St Ste 12, Spartanburg, SC 29307. The listed phone number is (864) 560-9260.

What is Michelle Blair's specialty?

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

Is Michelle Blair enrolled in Medicare?

Yes. Michelle Blair 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.

What insurance does Michelle Blair accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next and Molina Healthcare list Michelle Blair 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.

When was this NPI record last updated?

The NPPES record for Michelle Blair was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.