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SYLENA DANIELLE BLANCHARD APRN
NPI 1194442129
Nurse Practitioner - Critical Care Medicine in Des Moines, IA

Active since October 20, 2022PECOS EnrolledAccepts Medicare Assignment
700 E UNIVERSITY AVE, DES MOINES, IA 50316(515) 263-5612 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 7, 2023, Oct 20, 2022 (2 updates tracked since 2022).

About Sylena Danielle Blanchard Aprn NPPES

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

SYLENA DANIELLE BLANCHARD APRN (NPI 1194442129) is an individual critical care medicine provider in Des Moines, Iowa, licensed in Iowa (H171561) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Marshalltown, and maintains a secondary practice location in Des Moines.

NPPES Registry Identity

NPI1194442129
Entity TypeIndividualFemale
Primary Taxonomy363LC0200X
Provider Legal NameSYLENA DANIELLE BLANCHARDCredential: APRN
Location Address700 E UNIVERSITY AVEDes Moines, IA 50316-2302
Mailing Address9038 Nw 31st StPolk City, IA 50226-2220 · (515) 669-1270
Phone(515) 263-5612
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 20, 2022
Last NPPES UpdateNovember 7, 20232 updates tracked since enumeration
NPPES CertifiedNovember 7, 2023
✔ NPI 1194442129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC0200X
License✔ Licensed in IA · H171561
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License H171561 (IA)
700 E UNIVERSITY AVE, Des Moines, IA 50316
Open in Google Maps ↗

Secondary Practice Location 1

Location 11200 Pleasant StDes Moines, IA 50309-1406 · Phone (515) 241-6212

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Wellmark Health Plan of Iowa, Inc..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

Sylena Danielle Blanchard Aprn 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 ID2062883572
PECOS Enrollment IDI20230120000443
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 Sylena Blanchard reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Iowa Hospital Corporation
0.8 mi
Pediatrics
1200 PLEASANT ST
Des Moines, IA 50309
  • Reassigned Medicare billing, Iowa enrollment
  • 545 clinicians in this Medicare group
NPI 1144309188 (515) 241-5926
Iowa Physicians Clinic Medical Foundation
6.4 mi
General Practice
8101 BIRCHWOOD CT, SUITE N
Johnston, IA 50131
  • Reassigned Medicare billing, Iowa enrollment
  • 1,506 clinicians in this Medicare group
NPI 1619309325 (515) 471-9300
Trinity Regional Medical Center
61 mi
End-Stage Renal Disease (ESRD) Treatment
1610 COLLINS ST, SUITE D
Webster City, IA 50595
  • Reassigned Medicare billing, Iowa enrollment
  • 387 clinicians in this Medicare group
NPI 1568650174 (515) 832-1667

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 4

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
38 services38 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
33 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
33 services27 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
31 services29 patients

Hospital Affiliations CMS Care Compare 5

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

Unitypoint Health - Marshalltown

Acute Care Hospitals · Marshalltown, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number160001
Location55 Unitypoint WayMarshalltown, IA 50158 · Marshall County
Emergency services

Trinity Regional Medical Center

Acute Care Hospitals · Fort Dodge, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160016
Location802 Kenyon RdFort Dodge, IA 50501 · Webster County
Emergency services Birthing friendly

Unitypoint Health - Des Moines Iowa Methodist Medi

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160082
Location1200 Pleasant StreetDes Moines, IA 50309 · Polk County
Emergency services Birthing friendly

Grinnell Regional Medical Center

Acute Care Hospitals · Grinnell, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160147
Location210 Fourth AvenueGrinnell, IA 50112 · Poweshiek County
Emergency services Birthing friendly

Greater Regional Medical Center

Critical Access Hospitals · Creston, IA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161365
Location1700 West Townline StreetCreston, IA 50801 · Union County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50316 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

HANNA MAE HARD DO
Family Medicine
700 E UNIVERSITY AVE
DES MOINES, IA 50316
Polk County (515) 263-5612
PRIYANKA REDDY DO
Psychiatry & Neurology (Child & Adolescent Psychiatry)
700 E UNIVERSITY AVE
DES MOINES, IA 50316
Polk County (515) 263-5612
MICHAEL BRACCO PHARMD
Pharmacy
700 E UNIVERSITY AVE
DES MOINES, IA 50316
Polk County (515) 263-5510
CENTRAL IOWA HOSPITAL CORPORATION
Psychiatric Unit
700 E UNIVERSITY AVE
DES MOINES, IA 50316
Polk County (515) 263-5612
JORDAN SNOOK
Registered Nurse (Psychiatric/Mental Health)
700 E UNIVERSITY AVE
DES MOINES, IA 50316
Polk County (515) 263-2444
JILLIAN JOANN GRUND CRNA
Nurse Anesthetist, Certified Registered
700 E UNIVERSITY AVE
DES MOINES, IA 50316
Polk County (515) 263-5633
DES MOINES ANESTHESIOLOGISTS PC
Anesthesiology
700 E UNIVERSITY AVE
DES MOINES, IA 50316
Polk County (515) 263-5628
MELISSA ANN SNYDER CRNA
Nurse Anesthetist, Certified Registered
700 E UNIVERSITY AVE
DES MOINES, IA 50316
Polk County (515) 263-5612

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 Sylena Blanchard's NPI number?

The NPI number for Sylena Blanchard is 1194442129. It was assigned to this individual provider in the NPPES registry on October 20, 2022.

Where is Sylena Blanchard located?

Sylena Blanchard practices at 700 E University Ave, Des Moines, IA 50316. The listed phone number is (515) 263-5612.

What is Sylena Blanchard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Is Sylena Blanchard enrolled in Medicare?

Yes. Sylena 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 Sylena Blanchard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sylena Blanchard reassigns Medicare benefits to 3 organizations: Central Iowa Hospital Corporation (Des Moines, IA), Iowa Physicians Clinic Medical Foundation (Johnston, IA) and Trinity Regional Medical Center (Webster City, IA). 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 Sylena Blanchard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sylena Blanchard accept?

Health plans from Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Sylena Blanchard 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 Sylena Blanchard affiliated with any hospitals?

According to CMS data, Sylena Blanchard is affiliated with Unitypoint Health - Marshalltown, Trinity Regional Medical Center, Unitypoint Health - Des Moines Iowa Methodist Medi, Grinnell Regional Medical Center and Greater Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Sylena Blanchard was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.