DR. CONNIE LYNN BLIZZARD PSY.D.
NPI 1417142290
Psychologist - Clinical in Columbia, MD
About Dr. Connie Lynn Blizzard Psy.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CONNIE LYNN BLIZZARD PSY.D. (NPI 1417142290) is an individual clinical provider in Columbia, Maryland, licensed in Maryland (04883) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Connie Lynn Blizzard Psy.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Connie Blizzard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Columbia, MD 21044
- Reassigned Medicare billing, Maryland enrollment
- 6 clinicians in this Medicare group
Washington, DC 20007
- Reassigned Medicare billing, District of Columbia enrollment
- 4 clinicians in this Medicare group
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 21044 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Connie Blizzard's NPI number?
The NPI number for Connie Blizzard is 1417142290. It was assigned to this individual provider in the NPPES registry on September 13, 2007.
Where is Connie Blizzard located?
Connie Blizzard practices at 10025 Governor Warfield Pkwy Ste 202, Columbia, MD 21044. The listed phone number is (443) 201-1807.
What is Connie Blizzard's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Connie Blizzard enrolled in Medicare?
Yes. Connie Blizzard 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 Connie Blizzard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Connie Blizzard reassigns Medicare benefits to 2 organizations: Warr Family Group LLC (Columbia, MD) and Shatter Health, LLC (Washington, DC). 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 Connie Blizzard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Connie Blizzard was last updated on July 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Connie Lynn Blizzard, PSY.D. · NPI 1417142290
Clinical provider in Columbia, Maryland. Individual provider, active in the CMS NPPES registry since September 13, 2007.
## Identity
- **NPI:** 1417142290 (Entity type: Individual)
- **Enumerated:** September 13, 2007
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 04883 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 10025 GOVERNOR WARFIELD PKWY STE 202, Columbia, MD 21044-3329
- **Phone:** (443) 201-1807
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Warr Family Group LLC (NPI 1205546165, Columbia, MD); Shatter Health, LLC (NPI 1407748890, Washington, DC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** July 26, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1417142290) · Data from the CMS NPPES public registry.