CLARICE E. BLANCHARD PA-C
NPI 1871605238
Physician Assistant in Winterset, IA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
300 W HUTCHINGS ST, WINTERSET, IA 50273(515) 462-2950(515) 462-4371 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clarice E. Blanchard Pa-c NPPES

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

CLARICE E. BLANCHARD PA-C (NPI 1871605238) is an individual physician assistant in Winterset, Iowa, licensed in Iowa (001281) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Madison County Health Care System, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1871605238
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCLARICE E. BLANCHARDCredential: PA-C
Location Address300 W HUTCHINGS STWinterset, IA 50273-2104
Mailing Address300 W Hutchings StWinterset, IA 50273-2104 · (515) 462-2950 · Fax (515) 462-4371
Fax(515) 462-4371
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 31, 2006
Last NPPES UpdateJanuary 19, 2021
NPPES CertifiedJanuary 19, 2021
NPI 1871605238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IA · 001281
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
300 W HUTCHINGS ST, Winterset, IA 50273

Other Identifiers 2

Medicaid163410IA
Other53959IA · Bcbs

Accepted Insurance

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

Clarice E. Blanchard Pa-c 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 ID6800927492
PECOS Enrollment IDI20100625000417
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.

Hospital Affiliations CMS Care Compare

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

Madison County Health Care System

Critical Access Hospitals · Winterset, IA
OwnershipGovernment - Local
CMS Certification Number161326
Location300 West Hutchings StreetWinterset, IA 50273 · Madison County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50273 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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
3 suppliers19 claims37 services$6.59 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers23 claims23 services$174.19 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.

Social Worker (Clinical)
300 W HUTCHINGS ST
WINTERSET, IA 50273
Counselor
300 W HUTCHINGS ST
WINTERSET, IA 50273
Physical Therapist
300 W HUTCHINGS ST
WINTERSET, IA 50273
Clinic/Center (Primary Care)
300 W HUTCHINGS ST
WINTERSET, IA 50273
Family Medicine
300 W HUTCHINGS ST
WINTERSET, IA 50273
Physician Assistant
300 W HUTCHINGS ST
WINTERSET, IA 50273
Family Medicine
300 W HUTCHINGS ST
WINTERSET, IA 50273
Medicare Defined Swing Bed Unit
300 W HUTCHINGS ST
WINTERSET, IA 50273

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 Clarice Blanchard's NPI number?

The NPI number for Clarice Blanchard is 1871605238. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Clarice Blanchard located?

Clarice Blanchard practices at 300 W Hutchings St, Winterset, IA 50273. The listed phone number is (515) 462-2950.

What is Clarice Blanchard's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Clarice Blanchard enrolled in Medicare?

Yes. Clarice 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.

What insurance does Clarice Blanchard accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Clarice Blanchard 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.

Is Clarice Blanchard affiliated with any hospitals?

According to CMS data, Clarice Blanchard is affiliated with Madison County Health Care System.

When was this NPI record last updated?

The NPPES record for Clarice Blanchard was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.