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TERESSA BLANCHARD
NPI 1659721579
Nurse Practitioner - Pediatrics in Newark, OH

Active since June 22, 2016PECOS Enrolled
1865 TAMARACK RD, NEWARK, OH 43055(220) 564-4934(220) 564-4944 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 18, 2021, Nov 3, 2020, Jun 20, 2018 and 4 more (7 updates tracked since 2016).

About Teressa Blanchard NPPES

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

TERESSA BLANCHARD (NPI 1659721579) is an individual pediatrics provider in Newark, Ohio, licensed in Ohio (APRN.CNP.19268) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659721579
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameTERESSA BLANCHARD
Location Address1865 TAMARACK RDNewark, OH 43055
Mailing Address1865 Tamarack RdNewark, OH 43055 · (220) 564-4934 · Fax (220) 564-4944
Phone(220) 564-4934
Fax(220) 564-4944
Sole ProprietorNo
Enumeration DateJune 22, 2016
Last NPPES UpdateMarch 18, 20217 updates tracked since enumeration
NPPES CertifiedMarch 18, 2021
✔ NPI 1659721579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in OH · APRN.CNP.19268
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License COA.19268-NP (OH)
1865 TAMARACK RD, Newark, OH 43055
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Other Identifiers 1

Medicaid0177111OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teressa Blanchard is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Teressa Blanchard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Licking Memorial Professional Corporation
1.0 mi
Anatomic Pathology & Clinical Pathology
1320 W MAIN ST
Newark, OH 43055
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Licking Memorial Health Professionals
  • 280 clinicians in this Medicare group
NPI 1932186053 (740) 348-4266

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 43055 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 14

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

JENNIFER HARTMAN RDN
Dietitian, Registered
1865 TAMARACK RD
NEWARK, OH 43055
Licking County (220) 564-4912
DR. HANAA ABDELMESSIH MD
Pediatrics
1865 TAMARACK RD
NEWARK, OH 43055
Licking County (220) 564-4934
LICKING MEMORIAL PROFESSIONAL CORP
Pediatrics
1865 TAMARACK RD
NEWARK, OH 43055
Licking County (740) 348-4940
DR. TIMOTHY ROBERT GATENS MD
Physical Medicine & Rehabilitation
1865 TAMARACK RD
NEWARK, OH 43055
Licking County (740) 348-4953
KELLY MORRISON CNP
Nurse Practitioner (Pediatrics)
1865 TAMARACK RD
NEWARK, OH 43055
Licking County (220) 564-4940
KRISTINE PLOTTS APRN
Nurse Practitioner (Family)
1865 TAMARACK RD
NEWARK, OH 43055
Licking County (220) 564-4972
DR. CHARLES MARTY MD
Preventive Medicine (Occupational Medicine)
1865 TAMARACK RD
NEWARK, OH 43055
Licking County (740) 348-4972
DR. RICHARD BALTISBERGER MD
Pediatrics
1865 TAMARACK RD
NEWARK, OH 43055
Licking County (220) 564-4940

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 Teressa Blanchard's NPI number?

The NPI number for Teressa Blanchard is 1659721579. It was assigned to this individual provider in the NPPES registry on June 22, 2016.

Where is Teressa Blanchard located?

Teressa Blanchard practices at 1865 Tamarack Rd, Newark, OH 43055. The listed phone number is (220) 564-4934.

What is Teressa Blanchard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Teressa Blanchard enrolled in Medicare?

Yes. Teressa Blanchard is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Teressa Blanchard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teressa Blanchard reassigns Medicare benefits to Licking Memorial Professional Corporation (Newark, OH). The 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 Teressa Blanchard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Teressa Blanchard accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare list Teressa 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.

When was this NPI record last updated?

The NPPES record for Teressa Blanchard was last updated on March 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.