Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BLAIR M VIVIRITO
NPI 1700511995
Nurse Practitioner - Women's Health in Springfield, OH

Q: What is Blair Vivirito's NPI number?

The NPI number for Blair Vivirito is 1700511995. It was assigned to this individual provider in the NPPES registry on July 21, 2022.

Q: What is Blair Vivirito's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Blair Vivirito was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.

Active since July 21, 2022PECOS Enrolled

1108 VESTER AVE, SPRINGFIELD, OH 45503(937) 399-7100(937) 399-7355 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 2, 2026, Jul 21, 2022 (2 updates tracked since 2022).

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About Blair M Vivirito NPPES

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

BLAIR M VIVIRITO (NPI 1700511995) is an individual women's health provider in Springfield, Ohio, licensed in Ohio (APRN.CNP.0039849) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700511995

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameBLAIR M VIVIRITO

Location Address1108 VESTER AVESpringfield, OH 45503-1302

Mailing Address1108 Vester AveSpringfield, OH 45503-1302 · (937) 399-7100 · Fax (937) 399-7355

Phone(937) 399-7100

Fax(937) 399-7355

Sole ProprietorYes

Enumeration DateJuly 21, 2022

Last NPPES UpdateOctober 2, 20262 updates tracked since enumeration

NPPES CertifiedOctober 2, 2026

✔ NPI 1700511995 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 OH · APRN.CNP.0039849

1108 VESTER AVE, Springfield, OH 45503

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blair M Vivirito 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 45503 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 15

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

CHLOE WISE PA-C

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