1. Home
  2. Directory
  3. Massachusetts
  4. Worcester
  5. Clinical Nurse Specialist
  6. NPI Profile

SALLY ANN BLOMGREN R.N. M.S. C.S.
NPI 1619067568
Clinical Nurse Specialist - Psychiatric/Mental Health, Adult in Worcester, MA

Active since October 13, 2006PECOS Enrolled
78 BURNCOAT ST, WORCESTER, MA 01605(508) 414-5469(508) 870-7684 Get Directions Write a Review

NPPES record last updated: February 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sally Ann Blomgren R.n. M.s. C.s. NPPES

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

SALLY ANN BLOMGREN R.N. M.S. C.S. (NPI 1619067568) is an individual psychiatric/mental health, adult provider in Worcester, Massachusetts, licensed in Massachusetts (151021) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1619067568
Entity TypeIndividualFemale
Primary Taxonomy364SP0809X
Provider Legal NameSALLY ANN BLOMGRENCredential: R.N. M.S. C.S.
Location Address78 BURNCOAT STWorcester, MA 01605-1350
Mailing Address78 Burncoat StWorcester, MA 01605-1350 · (508) 414-5469 · Fax (508) 870-7684
Phone(508) 414-5469
Fax(508) 870-7684
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateOctober 13, 2006
Last NPPES UpdateFebruary 26, 2016
✔ NPI 1619067568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental Health, AdultPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0809X
License✔ Licensed in MA · 151021
78 BURNCOAT ST, Worcester, MA 01605
Open in Google Maps ↗

Other Identifiers 6

Other1034280MA · Fallon
OtherPN0758MA · Bluecross/blue Shield
Other2089549MA · Cigna
Other7807539MA · Aetna
Other471005MA · Tufts Health Plan
Other411421MA · Magellan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sally Ann Blomgren R.n. M.s. C.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173555273
PECOS Enrollment IDI20050909000526
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 01605 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 4

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

ASHLEY CONSTANTINE
Social Worker (Clinical)
78 BURNCOAT ST
WORCESTER, MA 01605
Worcester County (508) 789-7788
MS. SHERRI GRANDE DIREDA LICSW
Social Worker (Clinical)
78 BURNCOAT ST
WORCESTER, MA 01605
Worcester County (508) 453-1266
MARGARET PLATT
Counselor
78 BURNCOAT ST
WORCESTER, MA 01605
Worcester County (508) 603-6244
DR. JAMES S. DIREDA LICSW, PH.D.
Social Worker (Clinical)
78 BURNCOAT ST
WORCESTER, MA 01605
Worcester County (508) 361-4258

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 Sally Blomgren's NPI number?

The NPI number for Sally Blomgren is 1619067568. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Sally Blomgren located?

Sally Blomgren practices at 78 Burncoat St, Worcester, MA 01605. The listed phone number is (508) 414-5469.

What is Sally Blomgren's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 364SP0809X.

Is Sally Blomgren enrolled in Medicare?

Yes. Sally Blomgren is registered in the Medicare PECOS enrollment system.

What insurance does Sally Blomgren accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan list Sally Blomgren 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 Sally Blomgren was last updated on February 26, 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.