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DR. JANELLE RUTH BLICKENSDERFER D.O.
NPI 1477505543
Obstetrics & Gynecology in South Bend, IN

Active since May 17, 2006
515 N LAFAYETTE BLVD, SOUTH BEND, IN 46601(574) 232-2037(574) 232-1420 Get Directions Write a Review

NPPES record last updated: February 10, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Janelle Ruth Blickensderfer D.o. NPPES

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

DR. JANELLE RUTH BLICKENSDERFER D.O. (NPI 1477505543) is an individual obstetrics & gynecology provider in South Bend, Indiana, licensed in Indiana (02001307A) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1477505543
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. JANELLE RUTH BLICKENSDERFERCredential: D.O.
Location Address515 N LAFAYETTE BLVDSouth Bend, IN 46601-1003
Mailing Address515 N Lafayette BlvdSouth Bend, IN 46601-1003 · (574) 232-2037 · Fax (574) 232-1420
Phone(574) 232-2037
Fax(574) 232-1420
Sole ProprietorNo
Enumeration DateMay 17, 2006
Last NPPES UpdateFebruary 10, 2010
✔ NPI 1477505543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IN · 02001307A
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
515 N LAFAYETTE BLVD, South Bend, IN 46601
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Other Identifiers 3

Medicare UPINF00569
Medicaid100339290AIN
Medicare ID-Type Unspecified238760G

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

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.

DR. RAJENDRA VITO SHAH M.D.
Obstetrics & Gynecology
515 N LAFAYETTE BLVD
SOUTH BEND, IN 46601
St. Joseph County (574) 232-2037
DESHANNON GRADY JR
Behavior Technician
515 N LAFAYETTE BLVD
SOUTH BEND, IN 46601
St. Joseph County (866) 727-8274
HOUSER-NORBORG-MACGREGOR MEDICAL CORP
Obstetrics & Gynecology
515 N LAFAYETTE BLVD
SOUTH BEND, IN 46601
St. Joseph County (574) 232-2037
MRS. SHANNON LEE LUCZAK APN
Advanced Practice Midwife
515 N LAFAYETTE BLVD
SOUTH BEND, IN 46601
St. Joseph County (574) 232-2037
DANIEL FRANCIS CZARNECKI M.D.
Obstetrics & Gynecology
515 N LAFAYETTE BLVD
SOUTH BEND, IN 46601
St. Joseph County (574) 232-2037
DAYNA COX MD
Obstetrics & Gynecology
515 N LAFAYETTE BLVD
SOUTH BEND, IN 46601
St. Joseph County (574) 232-2037
DR. JESSICA MARIE BASHAM M.D.
Obstetrics & Gynecology
515 N LAFAYETTE BLVD
SOUTH BEND, IN 46601
St. Joseph County (574) 232-2037
JILL HAMILTON QMHS
Behavior Technician
515 N LAFAYETTE BLVD
SOUTH BEND, IN 46601
St. Joseph County (866) 727-8274

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 Janelle Blickensderfer's NPI number?

The NPI number for Janelle Blickensderfer is 1477505543. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Janelle Blickensderfer located?

Janelle Blickensderfer practices at 515 N Lafayette Blvd, South Bend, IN 46601. The listed phone number is (574) 232-2037.

What is Janelle Blickensderfer's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

What insurance does Janelle Blickensderfer accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Janelle Blickensderfer 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 Janelle Blickensderfer was last updated on February 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.