MRS. WENDY NICOLE BLETHEN NNP-BC
NPI 1174568752
Nurse Practitioner - Neonatal in Jackson, MS

Q: What is Wendy Blethen's NPI number?

The NPI number for Wendy Blethen is 1174568752. It was assigned to this individual provider in the NPPES registry on June 18, 2006.

Q: What is Wendy Blethen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Q: When was this NPI record last updated?

The NPPES record for Wendy Blethen was last updated on February 3, 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.

Active since June 18, 2006PECOS Enrolled

2500 N STATE ST, JACKSON, MS 39216(601) 984-5262 Get Directions Write a Review

NPPES record last updated: February 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Wendy Nicole Blethen Nnp-bc NPPES

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

MRS. WENDY NICOLE BLETHEN NNP-BC (NPI 1174568752) is an individual neonatal provider in Jackson, Mississippi, licensed in Florida (ARNP9391501) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174568752

Entity TypeIndividualFemale

Primary Taxonomy363LN0000X

Provider Legal NameMRS. WENDY NICOLE BLETHENCredential: NNP-BC

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-5262

Phone(601) 984-5262

Sole ProprietorNo

Enumeration DateJune 18, 2006

Last NPPES UpdateFebruary 3, 2016

✔ NPI 1174568752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0000X

Licenses✔ Licensed in FL · ARNP9391501✔ Licensed in MS · R862823

2500 N STATE ST, Jackson, MS 39216

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Other Identifiers 2

Medicare PIN302I505123MS

Medicaid08577001MS

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Wendy Nicole Blethen Nnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

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