MICHELLE VANBLARICOM (APRN) – Primary Care Nurse Practitioner, NPI 1891544888

MICHELLE VANBLARICOM (APRN) is a healthcare provider. based in Fayetteville, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. R096821 (AR). The NPI Number for MICHELLE VANBLARICOM (APRN) is 1891544888

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE VANBLARICOM (APRN)
NPI
1891544888
Phone
(479) 444-2200
Address
153 E Monte Painter Dr
Enumeration Date
14 May 2024
Last Update Date
14 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4797517417
Graduation Year
2024 (2 years ago)
PAC ID
3375087026
Group Practice PAC ID
0042262495
Professional Enrollment ID
I20240705000273
Address ID
AR727644685SP610XXCXXX504
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:2State licenses:2Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for MICHELLE VANBLARICOM (APRN)

  • 153 E Monte Painter Dr

    Fayetteville, AR 727034002

    Phone: (479) 444-2200

    Fax: (866) 324-0095

    Type: Location

  • 2902 DRIFTWOOD LN

    ROGERS, AR 727561729

    Phone: (870) 480-9953

    Type: Mailing

  • 614 E EMMA AVE STE 300

    SPRINGDALE, AR 727644469

    Phone: (479) 751-7417

    Fax: (479) 751-2878

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $195.

Total Amount is formed as General ($195) + Research ($0) + Ownership ($0) = $195.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($110).

Total Amount

$195

General + Research + Ownership

Payments

5

Total payment records

General Amount

$195

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240705000273INurse PractitionerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72703)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042262495View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to MICHELLE VANBLARICOM (APRN)?
NPI 1891544888 is assigned to MICHELLE VANBLARICOM (APRN) under the national enumeration system.
Is MICHELLE VANBLARICOM (APRN)'s NPI currently valid?
The extract we use shows MICHELLE VANBLARICOM (APRN) as active.
What does MICHELLE VANBLARICOM (APRN) treat or focus on?
Patients typically see MICHELLE VANBLARICOM (APRN) under the specialty Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MICHELLE VANBLARICOM (APRN)'s primary listing?
We display Fayetteville, Arkansas because that is what the record indicates for MICHELLE VANBLARICOM (APRN).
Is MICHELLE VANBLARICOM (APRN) a real provider?
This page reflects official NPPES data for NPI 1891544888. Always confirm identity and privileges with the practice and licensing boards.

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