THERESA ROSE BLY APRN, CNP
NPI 1760460836
Nurse Practitioner - Family in Marshall, MN

Q: What is Theresa Bly's NPI number?

The NPI number for Theresa Bly is 1760460836. It was assigned to this individual provider in the NPPES registry on January 9, 2006. The provider is also known as Theres Rose Deslauriers.

Q: What is Theresa Bly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Bly was last updated on March 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since January 09, 2006PECOS Enrolled

300 S BRUCE ST, MARSHALL, MN 56258(507) 537-9007(507) 537-2720 Get Directions Write a Review

NPPES record last updated: March 9, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Theresa Rose Bly Aprn, Cnp NPPES

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

THERESA ROSE BLY APRN, CNP (NPI 1760460836) is an individual family provider in Marshall, Minnesota, licensed in Minnesota (0742) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760460836

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTHERESA ROSE BLYCredential: APRN, CNP

Location Address300 S BRUCE STMarshall, MN 56258-1934

Mailing Address300 S Bruce StMarshall, MN 56258-1934 · (507) 537-9007 · Fax (507) 537-2720

Phone(507) 537-9007

Fax(507) 537-2720

Sole ProprietorNo

Enumeration DateJanuary 9, 2006

Last NPPES UpdateMarch 9, 2015

✔ NPI 1760460836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MN · 0742

Also ListedRegistered NurseTaxonomy 163W00000X · License R 088633 4 (MN)

300 S BRUCE ST, Marshall, MN 56258

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Other Names 1

Former Name (1)Theres Rose Deslauriers

Other Identifiers 4

Medicare PIN500003179MN

Medicare UPINS92160MN

Medicare PIN500001047MN

Medicaid816610200MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theresa Rose Bly Aprn, Cnp 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 56258 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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 20

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

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