JOANNAH BLUNTACH PMHNP-BC
NPI 1902293855
Nurse Practitioner - Psychiatric/Mental Health in Hermantown, MN

Active since April 17, 2015PECOS EnrolledAccepts Medicare Assignment
4135 RICHARD AVE STE 201, HERMANTOWN, MN 55811(612) 429-1011(855) 631-0016 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 6, 2025, May 5, 2025 (2 updates tracked since 2025).

About Joannah Bluntach Pmhnp-bc NPPES

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

JOANNAH BLUNTACH PMHNP-BC (NPI 1902293855) is an individual psychiatric/mental health provider in Hermantown, Minnesota, licensed in Minnesota (CNP 3842) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1902293855
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJOANNAH BLUNTACHCredential: PMHNP-BC
Location Address4135 RICHARD AVE STE 201Hermantown, MN 55811-2979
Mailing Address4135 Richard Ave Ste 201Hermantown, MN 55811-2979 · (612) 429-1011 · Fax (855) 631-0016
Fax(855) 631-0016
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 17, 2015
Last NPPES UpdateJune 6, 20252 updates tracked since enumeration
NPPES CertifiedJune 6, 2025
NPI 1902293855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in MN · CNP 3842 Licensed in HI · 4701
4135 RICHARD AVE STE 201, Hermantown, MN 55811

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

Joannah Bluntach Pmhnp-bc 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 ID5597086694
PECOS Enrollment IDI20150601002627
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 55811 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 3

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

Nurse Practitioner
4135 RICHARD AVE STE 201
HERMANTOWN, MN 55811
Counselor (Mental Health)
4135 RICHARD AVE STE 201
DULUTH, MN 55811
Social Worker (Clinical)
4135 RICHARD AVE STE 201
DULUTH, MN 55811

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 Joannah Bluntach's NPI number?

The NPI number for Joannah Bluntach is 1902293855. It was assigned to this individual provider in the NPPES registry on April 17, 2015.

Where is Joannah Bluntach located?

Joannah Bluntach practices at 4135 Richard Ave Ste 201, Hermantown, MN 55811. The listed phone number is (612) 429-1011.

What is Joannah Bluntach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Joannah Bluntach enrolled in Medicare?

Yes. Joannah Bluntach 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 Joannah Bluntach accept?

Health plans from HMSA, HealthPartners and Providence Health Plan list Joannah Bluntach 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 Joannah Bluntach was last updated on June 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.