MICHELE DEANN BLAIR (APRN, NP-C) – Nurse Practitioner, NPI 1073055901
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,343 NURSE PRACTITIONER in KY
Provider Addresses for MICHELE DEANN BLAIR (APRN, NP-C)
3332 Villa Pt Ste 104
Owensboro, KY 423037818
Phone: (812) 477-7246
Fax: (270) 554-8987
Type: Location
3740, Old Hartford Road, Owensboro, Daviess County, Kentucky, 42303, United States
OWENSBORO, KY 423031727
Phone: (270) 684-7259
Type: Mailing
10015, Main Street, Whitesville, Daviess County, Kentucky, 42378, United States
WHITESVILLE, KY 423789557
Phone: (270) 233-1884
Type: Location
67 LAKEVIEW DR
PADUCAH, KY 420015619
Phone: (270) 554-8373
Fax: (270) 554-8987
Type: Mailing
200 CLINIC DR # 6
MADISONVILLE, KY 424311661
Phone: (812) 477-7246
Fax: (270) 554-8987
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $229.
Total Amount is formed as General ($229) + Research ($0) + Ownership ($0) = $229.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Nevro Corp. ($88).
Total Amount
$229
General + Research + Ownership
Payments
8
Total payment records
General Amount
$229
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2016-12-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161219002840 | I | Nurse Practitioner | KY | TBD |
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.
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 42303)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Pain Management, Anesthesiology, Interventional Pain Management | IN | |
| Physical Medicine And Rehabilitation, Interventional Pain Management | IN | |
| - | IN | |
| Interventional Pain Management, Anesthesiology | KY | |
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| - | IN | |
| Nurse Practitioner | KY |
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