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ANNIE BLYSTONE
NPI 1104617513
Nurse Practitioner - Psychiatric/Mental Health in Tamarac, FL

Active since May 14, 2025PECOS EnrolledAccepts Medicare Assignment
7425 N UNIVERSITY DR, TAMARAC, FL 33321(954) 247-4627(603) 461-3545 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 20, 2026, Dec 29, 2025, Jun 6, 2025 and 1 more (4 updates tracked since 2025).

About Annie Blystone NPPES

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

ANNIE BLYSTONE (NPI 1104617513) is an individual psychiatric/mental health provider in Tamarac, Florida, licensed in Florida (APRN11039470) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Redmond, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1104617513
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameANNIE BLYSTONE
Location Address7425 N UNIVERSITY DRTamarac, FL 33321-2901
Mailing AddressPo Box 4228Portland, OR 97208-4228 · (541) 617-5369 · Fax (541) 323-3866
Phone(954) 247-4627
Fax(603) 461-3545
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 14, 2025
Last NPPES UpdateMay 20, 20264 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1104617513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in FL · APRN11039470✔ Licensed in OR · 10001248
7425 N UNIVERSITY DR, Tamarac, FL 33321
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Secondary Practice Location 1

Location 11250 SW Veterans Way Ste 120Redmond, OR 97756-2588 · Phone (541) 383-3005 · Fax (541) 383-1883

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Anthem Blue Cross and Blue Shield, Antidote Health of TX 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

Annie Blystone 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 ID2163920760
PECOS Enrollment IDI20250813000237, I20260129002497
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 Annie Blystone reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Balanced Wellbeing LLC
234 mi
Psychiatry
3200 SW 34TH AVE STE 701
Ocala, FL 34474
  • Reassigned Medicare billing, Florida enrollment
  • 369 clinicians in this Medicare group
NPI 1336513639 (352) 445-1200
Mosaic Community Health
2,576 mi
Federally Qualified Health Center (FQHC)
375 NW BEAVER ST STE 101
Prineville, OR 97754
  • Reassigned Medicare billing, Oregon enrollment
  • 102 clinicians in this Medicare group
NPI 1083633184 (541) 447-0707

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33321 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 3

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

UNIVERSITY HOSPITAL, LTD.
Psychiatric Unit
7425 N UNIVERSITY DR
TAMARAC, FL 33321
Broward County (954) 721-2200
NIGAM H PARIKH, MD PA
Internal Medicine
7425 N UNIVERSITY DR
TAMARAC, FL 33321
Broward County (954) 649-9171
DR. SHEILIN HAMID DO
Psychiatry & Neurology (Psychiatry)
7425 N UNIVERSITY DR
TAMARAC, FL 33321
Broward County (954) 724-6502

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 Annie Blystone's NPI number?

The NPI number for Annie Blystone is 1104617513. It was assigned to this individual provider in the NPPES registry on May 14, 2025.

Where is Annie Blystone located?

Annie Blystone practices at 7425 N University Dr, Tamarac, FL 33321. The listed phone number is (954) 247-4627.

What is Annie Blystone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Annie Blystone enrolled in Medicare?

Yes. Annie Blystone 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 Annie Blystone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Annie Blystone reassigns Medicare benefits to 2 organizations: Balanced Wellbeing LLC (Ocala, FL) and Mosaic Community Health (Prineville, OR). 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 Annie Blystone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Annie Blystone accept?

Health plans from Ambetter from Superior HealthPlan, Anthem Blue Cross and Blue Shield, Antidote Health of TX, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Annie Blystone 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 Annie Blystone was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.