BLAISE FONDREN
NPI 1679341630
Nurse Practitioner - Family in Oxford, MS
About Blaise Fondren NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLAISE FONDREN (NPI 1679341630) is an individual family provider in Oxford, Mississippi, licensed in Mississippi (906484) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, is affiliated with Yalobusha General Hospital, and maintains a secondary practice location in Water Valley.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Blaise Fondren 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Yalobusha General Hospital
Acute Care Hospitals · Water Valley, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OXFORD, MS 38655
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 Blaise Fondren's NPI number?
The NPI number for Blaise Fondren is 1679341630. It was assigned to this individual provider in the NPPES registry on December 19, 2023.
Where is Blaise Fondren located?
Blaise Fondren practices at 2222 Jackson Ave W, Oxford, MS 38655. The listed phone number is (662) 380-5560.
What is Blaise Fondren's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Blaise Fondren enrolled in Medicare?
Yes. Blaise Fondren 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.
What insurance does Blaise Fondren accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Blaise Fondren 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.
Is Blaise Fondren affiliated with any hospitals?
According to CMS data, Blaise Fondren is affiliated with Yalobusha General Hospital.
When was this NPI record last updated?
The NPPES record for Blaise Fondren was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
