MRS. MICHELE IRENE BLANCHARD FNP
NPI 1801381777
Nurse Practitioner - Family in Herkimer, NY

Active since June 24, 2018PECOS EnrolledAccepts Medicare Assignment
86.64/100
CMS Quality Rating
321 E ALBANY ST, HERKIMER, NY 13350(315) 867-2700 Get Directions Write a Review

NPPES record last updated: June 24, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Michele Irene Blanchard Fnp NPPES

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

MRS. MICHELE IRENE BLANCHARD FNP (NPI 1801381777) is an individual family provider in Herkimer, New York, licensed in New York (F343069) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1801381777
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MICHELE IRENE BLANCHARDCredential: FNP
Location Address321 E ALBANY STHerkimer, NY 13350-2016
Mailing Address8137 Rome Westernville RdRome, NY 13440-1405 · (315) 371-0160
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 24, 2018
NPI 1801381777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · F343069
321 E ALBANY ST, Herkimer, NY 13350

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

Mrs. Michele Irene Blanchard Fnp 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.

PECOS PAC ID8921358250
PECOS Enrollment IDI20180907002086
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
96 services74 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
66 services53 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
58 services58 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

Oneida Health Hospital

Acute Care Hospitals · Oneida, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330115
Location321 Genesee StreetOneida, NY 13421 · Madison County
Emergency services Birthing friendly

Bassett Healthcare

Acute Care Hospitals · Cooperstown, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330136
LocationOne Atwell RoadCooperstown, NY 13326 · Otsego County
Emergency services Birthing friendly

Rome Memorial Hospital, Inc

Acute Care Hospitals · Rome, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330215
Location1500 North James StreetRome, NY 13440 · Oneida County
Emergency services Birthing friendly

Little Falls Hospital

Critical Access Hospitals · Little Falls, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331311
Location140 Burwell StreetLittle Falls, NY 13365 · Herkimer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13350 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.13
Promoting Interoperability74
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers24 claims59 services$5.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant
321 E ALBANY ST
HERKIMER, NY 13350
Family Medicine
321 E ALBANY ST
HERKIMER, NY 13350
Nurse Practitioner (Family)
321 E ALBANY ST
HERKIMER, NY 13350
Pediatrics
321 E ALBANY ST
HERKIMER, NY 13350
Family Medicine
321 E ALBANY ST
HERKIMER, NY 13350
Nurse Practitioner (Family)
321 E ALBANY ST
HERKIMER, NY 13350
Physician Assistant
321 E ALBANY ST
HERKIMER, NY 13350
Physician Assistant
321 E ALBANY ST
HERKIMER, NY 13350

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 Michele Blanchard's NPI number?

The NPI number for Michele Blanchard is 1801381777. It was assigned to this individual provider in the NPPES registry on June 24, 2018.

Where is Michele Blanchard located?

Michele Blanchard practices at 321 E Albany St, Herkimer, NY 13350. The listed phone number is (315) 867-2700.

What is Michele Blanchard's specialty?

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

Is Michele Blanchard enrolled in Medicare?

Yes. Michele Blanchard 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.

Is Michele Blanchard affiliated with any hospitals?

According to CMS data, Michele Blanchard is affiliated with Wynn Hospital, Oneida Health Hospital, Bassett Healthcare, Rome Memorial Hospital, Inc and Little Falls Hospital.

When was this NPI record last updated?

The NPPES record for Michele Blanchard was last updated on June 24, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.