MELISA JO BLACHLY FNP-C
NPI 1396069126
Nurse Practitioner - Family in Tucson, AZ

Q: What is Melisa Blachly's NPI number?

The NPI number for Melisa Blachly is 1396069126. It was assigned to this individual provider in the NPPES registry on March 23, 2010.

Q: What is Melisa Blachly's specialty?

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

Q: Is Melisa Blachly enrolled in Medicare?

No. Melisa Blachly has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Melisa Blachly was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 23, 2010Opted out of Medicare · through Oct 1, 2026

1880 W ORANGE GROVE RD, TUCSON, AZ 85704(520) 689-6809(520) 699-5201 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 23, 2025, Jun 6, 2022, Jan 16, 2019 (3 updates tracked since 2019).

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About Melisa Jo Blachly Fnp-c NPPES

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

MELISA JO BLACHLY FNP-C (NPI 1396069126) is an individual family provider in Tucson, Arizona, licensed in Arizona (221053) and active in the NPI registry since March 2010. She has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1396069126

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMELISA JO BLACHLYCredential: FNP-C

Location Address1880 W ORANGE GROVE RDTucson, AZ 85704-1129

Mailing Address1880 W Orange Grove RdTucson, AZ 85704-1129 · (520) 689-6809 · Fax (520) 699-5201

Phone(520) 689-6809

Fax(520) 699-5201

Sole ProprietorNo

Enumeration DateMarch 23, 2010

Last NPPES UpdateDecember 23, 20253 updates tracked since enumeration

NPPES CertifiedDecember 23, 2025

✔ NPI 1396069126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in AZ · 221053

Also ListedRegistered NurseTaxonomy 163W00000X · License 146735 (AZ)

1880 W ORANGE GROVE RD, Tucson, AZ 85704

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Other Identifiers 1

Medicaid322842SC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Melisa Jo Blachly Fnp-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2022 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2022

Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85704 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 7

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

MRS. TERRI L ADLER P.T.

Physical Therapist (Orthopedic)