1. Home
  2. Directory
  3. Arkansas
  4. Malvern
  5. Nurse Practitioner
  6. NPI Profile

MRS. MARY E BLASINGAME RNP,APN
NPI 1679594683
Nurse Practitioner - Women's Health in Malvern, AR

Active since July 22, 2006PECOS Enrolled
2204 E SULLENBERGER AVE, MALVERN, AR 72104(501) 332-6972(501) 332-6889 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Mary E Blasingame Rnp,apn NPPES

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

MRS. MARY E BLASINGAME RNP,APN (NPI 1679594683) is an individual women's health provider in Malvern, Arkansas, licensed in Arkansas (P01165) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679594683
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMRS. MARY E BLASINGAMECredential: RNP,APN
Location Address2204 E SULLENBERGER AVEMalvern, AR 72104-4806
Mailing Address982 Wine Dot RdMalvern, AR 72104-7551 · (501) 337-0840 · Fax (501) 332-6889
Phone(501) 332-6972
Fax(501) 332-6889
Sole ProprietorYes
Enumeration DateJuly 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1679594683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in AR · P01165
2204 E SULLENBERGER AVE, Malvern, AR 72104
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mary E Blasingame Rnp,apn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72104 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 2

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

STATE OF ARKANSAS
Home Health
2204 E SULLENBERGER AVE, HOT SPRING COUNTY HEALTH UNIT
MALVERN, AR 72104
Hot Spring County (501) 332-6974
JESSICA R REED-SCHMID APRN
Nurse Practitioner (Family)
2204 E SULLENBERGER AVE
MALVERN, AR 72104
Hot Spring County (501) 332-6972

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 Mary Blasingame's NPI number?

The NPI number for Mary Blasingame is 1679594683. It was assigned to this individual provider in the NPPES registry on July 22, 2006.

Where is Mary Blasingame located?

Mary Blasingame practices at 2204 E Sullenberger Ave, Malvern, AR 72104. The listed phone number is (501) 332-6972.

What is Mary Blasingame's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Mary Blasingame enrolled in Medicare?

Yes. Mary Blasingame is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Blasingame was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.