BLANCA E MEDELLIN NP
NPI 1972373637
Nurse Practitioner in Springfield, MO
About Blanca E Medellin Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLANCA E MEDELLIN NP (NPI 1972373637) is an individual nurse practitioner in Springfield, Missouri, licensed in Missouri (2024000244) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Springfield, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted 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
Blanca E Medellin Np 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.
Medicare Billing Reassignments
2Medicare enrollment records show Blanca Medellin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Springfield, MO 65806
- Reassigned Medicare billing, Missouri enrollment
- 182 clinicians in this Medicare group
Springfield, MO 65807
- Reassigned Medicare billing, Missouri enrollment
- 1,487 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Hospital Springfield
Acute Care Hospitals · Springfield, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65806 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SPRINGFIELD, MO 65806
SPRINGFIELD, MO 65806
SPRINGFIELD, MO 65806
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 Blanca Medellin's NPI number?
The NPI number for Blanca Medellin is 1972373637. It was assigned to this individual provider in the NPPES registry on January 4, 2024. The provider is also known as Blanca Zuniga.
Where is Blanca Medellin located?
Blanca Medellin practices at 440 E Tampa St, Springfield, MO 65806. The listed phone number is (417) 831-0150.
What is Blanca Medellin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Blanca Medellin enrolled in Medicare?
Yes. Blanca Medellin 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 organizations bill Medicare for Blanca Medellin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Blanca Medellin reassigns Medicare benefits to 2 organizations: Advocates For A Healthy Community, Inc (Springfield, MO) and Mercy Clinic Springfield Communities (Springfield, MO). Each 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 Blanca Medellin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Blanca Medellin accept?
Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Blanca Medellin 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 Blanca Medellin affiliated with any hospitals?
According to CMS data, Blanca Medellin is affiliated with Mercy Hospital Springfield.
When was this NPI record last updated?
The NPPES record for Blanca Medellin was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Blanca E Medellin, NP · NPI 1972373637
Nurse Practitioner physician in Springfield, Missouri. Individual provider, active in the CMS NPPES registry since January 4, 2024.
## Identity
- **NPI:** 1972373637 (Entity type: Individual)
- **Enumerated:** January 4, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 2024000244 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 440 E TAMPA ST, Springfield, MO 65806-1131
- **Phone:** (417) 831-0150
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Advocates For A Healthy Community, Inc (NPI 1558303057, Springfield, MO); Mercy Clinic Springfield Communities (NPI 1245277631, Springfield, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** January 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1972373637) · Data from the CMS NPPES public registry.