BLANCHARD MEDICAL
NPI 1760089791
Clinic/Center - Rural Health in Shreveport, LA

Active since October 02, 2020CLIA 19D2211996 · Certificate of Compliance
5948 N MARKET ST, SHREVEPORT, LA 71107(318) 375-0001(318) 375-0002 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 23, 2023, Jan 10, 2023, Nov 18, 2021 and 3 more (6 updates tracked since 2020).

About Blanchard Medical NPPES

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

BLANCHARD MEDICAL (NPI 1760089791) is a healthcare organization registered as a rural health in Shreveport, Louisiana and active in the NPI registry since October 2020. The organization holds a CLIA Certificate of Compliance certificate valid through January 12, 2028 and lists Dakota Robinson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1760089791
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameBLANCHARD MEDICAL
Location Address5948 N MARKET STShreveport, LA 71107-2017
Mailing Address5948 N Market StShreveport, LA 71107-2017 · (318) 375-0001 · Fax (318) 375-0002
Fax(318) 375-0002
Organization SubpartYesParent: North Caddo Hospital Service District
Authorized OfficialDakota RobinsonCfo · (318) 375-4097
Enumeration DateOctober 2, 2020
Last NPPES UpdateJanuary 29, 20246 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2024
✔ NPI 1760089791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
5948 N MARKET ST, Shreveport, LA 71107

Other Names 1

Doing Business AsBlanchard Medical

Other Identifiers 1

Medicaid2570587LA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateLouisianaEnrollment IDO20210405001704Part A · Rural Health ClinicDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Blanchard Medical, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner9
Family Practice4
Emergency Medicine2

Clinicians, nearest first (15)

Nurse Practitioner
NPI 1780815985
5948 N MARKET ST
Shreveport, LA 71107
(318) 375-0001
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1801653936
188 BURT BLVD
Benton, LA 71006
(318) 965-5017
✔ PECOS✔ Accepts Medicare8.3 mi
Nurse Practitioner
NPI 1366730558
188 BURT BLVD
Benton, LA 71006
(318) 965-5017
✔ PECOS✔ Accepts Medicare8.3 mi
Nurse Practitioner
NPI 1003808569
1500 LINE AVENUE STE 200
Shreveport, LA 71101
(318) 629-5555
✔ PECOS✔ Accepts Medicare9.5 mi
Nurse Practitioner
NPI 1033841036
103 HIGHWAY 1 S
Oil City, LA 71061
(318) 995-6504
✔ PECOS✔ Accepts Medicare13 mi
Family Practice
NPI 1740365733
2125 E BERT KOUNS INDUSTRIAL LOOP
Shreveport, LA 71105
(318) 401-1766
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1831566777
5668 BARKSDALE BLVD
Bossier City, LA 71112
(318) 735-1800
✔ PECOS✔ Accepts Medicare16 mi
Family Practice
NPI 1023493160
5668 BARKSDALE BLVD
Bossier City, LA 71112
(318) 735-1800
✔ PECOS✔ Accepts Medicare16 mi
Emergency Medicine
NPI 1003083205
1003 S SPRUCE ST NCMC MEDICAL AND SURGICAL CLINIC
Vivian, LA 71082
(318) 375-3239
✔ PECOS✔ Accepts Medicare20 mi
Emergency Medicine
NPI 1801824651
815 S PINE ST
Vivian, LA 71082
(318) 375-3235
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1447882162
815 S PINE ST
Vivian, LA 71082
(318) 375-3239
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1720205586
815 S PINE ST
Vivian, LA 71082
(318) 375-3239
✔ PECOS✔ Accepts Medicare21 mi
Family Practice
NPI 1487282125
815 S PINE ST
Vivian, LA 71082
(318) 375-3239
✔ PECOS✔ Accepts Medicare21 mi
Family Practice
NPI 1619110152
815 S PINE ST
Vivian, LA 71082
(318) 375-3235
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1407588627
112 N FORREST RD
Plain Dealing, LA 71064
(318) 326-7272
✔ PECOS✔ Accepts Medicare23 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 19D2211996

Blanchard Medical · Shreveport, LA
Active · expires Jan 12, 2028
CLIA Number19D2211996
Laboratory TypePhysician Office
Certificate Effective DateJanuary 13, 2026
Certificate Expiration DateJanuary 12, 2028
Laboratory DirectorCharles G. Guest
Laboratory Phone(318) 375-7211
Laboratory LocationBlanchard Medical5948 North Market, Shreveport, LA 71107
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Blanchard Medical's NPI number?

The NPI number for Blanchard Medical is 1760089791. It was assigned to this organization in the NPPES registry on October 2, 2020.

Where is Blanchard Medical located?

Blanchard Medical is located at 5948 N Market St, Shreveport, LA 71107. The listed phone number is (318) 375-0001.

What is Blanchard Medical's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Blanchard Medical enrolled in Medicare?

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

When is Blanchard Medical's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Louisiana, Rural Health Clinic) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Blanchard Medical?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 3 Medicare specialties reassign their Medicare billing to Blanchard Medical. A 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 the clinician's services. The largest specialties are Nurse Practitioner (9), Family Practice (4) and Emergency Medicine (2). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Blanchard Medical hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 19D2211996) is associated with this NPI, valid through January 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Blanchard Medical accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and AmeriHealth Caritas Next and 2 other insurers list Blanchard Medical 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 Blanchard Medical was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.