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MS. MILDRED A BLANDAMER FAMILY PMHNP-BC
NPI 1932420239
Nurse Practitioner - Psychiatric/Mental Health in San Francisco, CA

Active since June 21, 2010PECOS EnrolledAccepts Medicare Assignment
BRIGHTSIDE HEALTH TELEPSYCHIATRY, 2261 MARKET STREET, SUITE 10222, SAN FRANCISCO, CA 94114(918) 762-6604(918) 762-6646 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Mildred A Blandamer Family Pmhnp-bc NPPES

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

MS. MILDRED A BLANDAMER FAMILY PMHNP-BC (NPI 1932420239) is an individual psychiatric/mental health provider in San Francisco, California, licensed in Oklahoma (34370) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1932420239
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. MILDRED A BLANDAMERCredential: FAMILY PMHNP-BC
Location AddressBRIGHTSIDE HEALTH TELEPSYCHIATRY, 2261 MARKET STREET, SUITE 10222San Francisco, CA 94114
Mailing Address8108 E Norman StBroken Arrow, OK 74014-7414 · (918) 316-9353 · Fax (918) 517-2922
Phone(918) 762-6604
Fax(918) 762-6646
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 21, 2010
Last NPPES UpdateJanuary 21, 2025
NPPES CertifiedJanuary 16, 2025
✔ NPI 1932420239 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 OK · 34370✔ Licensed in MN · 5400✔ Licensed in AL · 34334✔ Licensed in UT · 4405✔ Licensed in MT · 154915
BRIGHTSIDE HEALTH TELEPSYCHIATRY, San Francisco, CA 94114
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Other Names 1

Other Name (5)Ms. Mildred (midge) A Blandamer Aprn, Crnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, BridgeSpan Health Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Mildred A Blandamer Family 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 ID5092969162
PECOS Enrollment IDI20240111000319
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.

Medicare Billing Reassignment

Medicare enrollment records show Mildred Blandamer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brightside Medical Of Michigan PC
1.0 mi
Psychiatry
5214F DIAMOND HEIGHTS BLVD # 3422
San Francisco, CA 94131
  • Reassigned Medicare billing, Oklahoma enrollment
  • 7 clinicians in this Medicare group
NPI 1144800350 (415) 360-3348

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94114 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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 Mildred Blandamer's NPI number?

The NPI number for Mildred Blandamer is 1932420239. It was assigned to this individual provider in the NPPES registry on June 21, 2010. The provider is also known as Ms. Mildred (midge) A Blandamer Aprn, Crnp.

Where is Mildred Blandamer located?

Mildred Blandamer practices at Brightside Health Telepsychiatry 2261 Market Street, Suite 10222, San Francisco, CA 94114. The listed phone number is (918) 762-6604.

What is Mildred Blandamer's specialty?

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

Is Mildred Blandamer enrolled in Medicare?

Yes. Mildred Blandamer 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.

Which organization bills Medicare for Mildred Blandamer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mildred Blandamer reassigns Medicare benefits to Brightside Medical Of Michigan PC (San Francisco, CA). The 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 Mildred Blandamer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mildred Blandamer accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and UnitedHealthcare list Mildred Blandamer 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 Mildred Blandamer was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.