RESSIE BLYTHE
NPI 1952281669
Nurse Practitioner in Los Angeles, CA

Active since September 03, 2025PECOS Enrolled
3601 E 1ST ST, LOS ANGELES, CA 90063(951) 807-8920 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 29, 2026, Sep 3, 2025 (2 updates tracked since 2025).

About Ressie Blythe NPPES

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

RESSIE BLYTHE (NPI 1952281669) is an individual nurse practitioner in Los Angeles, California, licensed in California (95036749) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1952281669
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameRESSIE BLYTHE
Location Address3601 E 1ST STLos Angeles, CA 90063-2325
Mailing Address3601 E 1st StLos Angeles, CA 90063-2325 · (951) 807-8920
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 3, 2025
Last NPPES UpdateJuly 29, 20262 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1952281669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95036749
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3601 E 1ST ST, Los Angeles, CA 90063

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ressie Blythe is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820579733
PECOS Enrollment IDI20260227001494
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 Ressie Blythe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
507 S ATLANTIC BLVD
Los Angeles, CA 90022
  • Reassigned Medicare billing, California enrollment
  • 45 clinicians in this Medicare group

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 90063 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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

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

Podiatrist (Foot & Ankle Surgery)
3601 E 1ST ST
LOS ANGELES, CA 90063

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 Ressie Blythe's NPI number?

The NPI number for Ressie Blythe is 1952281669. It was assigned to this individual provider in the NPPES registry on September 3, 2025.

Where is Ressie Blythe located?

Ressie Blythe practices at 3601 E 1st St, Los Angeles, CA 90063. The listed phone number is (951) 807-8920.

What is Ressie Blythe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ressie Blythe enrolled in Medicare?

Yes. Ressie Blythe is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ressie Blythe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ressie Blythe reassigns Medicare benefits to Via Care Community Health Center (Los Angeles, 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 Ressie Blythe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ressie Blythe was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.